Treaty Oak Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

32670 Issued in TX

Legal business name

TREATY OAK DENTAL, PLLC

Practice address

2905 San Gabriel Street Suite 202
Austin, TX 78705-3539

Phone

(512) 478-4411

Fax

(511) 247-8006

NPI assigned

Feb 7, 2018

Last updated

Jul 10, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Walter Jay, DDS

Title

Member

Phone

(512) 478-4411

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: office@treatyoakdental.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1215436027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 SAN GABRIEL STREET SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053539",
            "telephone_number": "512-478-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 SAN GABRIEL STREET SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053539",
            "telephone_number": "512-478-4411",
            "fax_number": "511-247-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREATY OAK DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-478-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@treatyoakdental.com",
            "affiliation": "N",
            "address_1": "2905 San Gabriel Street Suite 202",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787053539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dentist in Austin, TX
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• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.