Organization Active NPI

Baylor Medical & Dental

  • Dentist
  • Austin, TX
National Provider Identifier
1265660518
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BAYLOR MEDICAL & DENTAL
Practice address
8741 N Lamar Blvd
Austin, TX 78753-5423
Phone
(512) 832-6395
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Mrs. Rhonda Pham
Title
Office Manager
Phone
(512) 832-6395

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X

Addresses

Primary practice location

8741 N Lamar Blvd
Austin, TX 78753-5423

Mailing address

8741 N Lamar Blvd
Austin, TX 78753-5423
Phone (512) 832-6395

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1265660518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8741 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535423",
            "telephone_number": "512-832-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8741 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535423",
            "telephone_number": "512-832-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR MEDICAL & DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-832-6395",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.