Mary Kate Peters, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22337 Issued in TX

Legal business name

MARY KATE PETERS, DDS, PLLC

Practice address

507 W 15TH St
Austin, TX 78701-1511

Phone

(512) 478-4411

Fax

(512) 478-0069

NPI assigned

Sep 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mary Katharine Peters, DDS

Title

Managing Member

Phone

(512) 478-4411

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Dennis Brender, DDS

  • Dentist
  • Austin, TX
  • NPI 1770683054
  NPD (past)
• James Brent Herrington Jr., D.D.S

  • Endodontics
  • Tyler, TX
  • NPI 1902359656
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1255709697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W 15TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011511",
            "telephone_number": "512-478-4411",
            "fax_number": "512-478-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W 15TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011511",
            "telephone_number": "512-478-4411",
            "fax_number": "512-478-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY KATE PETERS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHARINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-478-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher S Marullo, LPC
• Joelle Yvonne Maruniak, LCSW
• Katy Marvel, LCSW
• Jasmine Marwan
• Mary a. Gonzales, M.D., P.a.
• Mary Lee Foundation
• Mary Lee Foundation
• Mary Lee Foundation
• Mary Marvin Johnson,MD,PA,Dba
• Mary V. Mirto, D.O., P.a.

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.