NPIMap

Organization Active NPI

Brush32 Dental of Buda PLLC

Doing business as Ideal Dental Buda

  • Dentist
  • Buda, TX
National Provider Identifier
1265933758
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRUSH32 DENTAL OF BUDA PLLC
Doing business as
Ideal Dental Buda
Practice address
15550 S Ih 35 Ste 110
Buda, TX 78610-3887
Phone
(512) 265-8427
Fax
(512) 271-6464
NPI assigned
Feb 21, 2018
Last updated
May 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Rodney Alles, DDS
Title
Owner
Phone
(972) 331-8079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

15550 S Ih 35 Ste 110
Buda, TX 78610-3887

Mailing address

PO Box 840925
Dallas, TX 75284-0925
Phone (972) 361-0600

Other names 1

  • Ideal Dental Buda Doing business as

National Provider Directory

National Provider Directory

Locations

15550 S Ih 35
Ste 110
Buda, TX 78610
Phone (512) 265-8427

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1265933758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925",
            "telephone_number": "972-361-0600",
            "fax_number": "214-757-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15550 S IH 35 STE 110",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786103887",
            "telephone_number": "512-265-8427",
            "fax_number": "512-271-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH32 DENTAL OF BUDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "ALLES",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Dental Buda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buda, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.