Organization Active NPI

Westgate Family Dental RR, PLLC

  • Dental Clinic/Center
  • Round Rock, TX
National Provider Identifier
1215693239
Registry record updated Nov 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WESTGATE FAMILY DENTAL RR, PLLC
Practice address
5290 N a W Grimes Blvd Ste 400
Round Rock, TX 78665-2728
Phone
(517) 414-9468
NPI assigned
Nov 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2021

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

Authorized official

Name
Vu KongNPI 1548428998
Title
Manager
Phone
(517) 414-9468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5290 N a W Grimes Blvd Ste 400
Round Rock, TX 78665-2728

Mailing address

5290 N a W Grimes Blvd Ste 400
Round Rock, TX 78665-2728

Other names 1

  • High Point Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5290 N A W Grimes Blvd
Ste 400
Round Rock, TX 78665
Phone (512) 394-6255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636848000000",
    "number": "1215693239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 N A W GRIMES BLVD STE 400",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 N A W GRIMES BLVD STE 400",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652728",
            "telephone_number": "517-414-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE FAMILY DENTAL RR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "VU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "517-414-9468"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Point Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2021; 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.