NPIMap

Organization Active NPI

Lago Vista Family Dentistry, PLLC

  • Dental Clinic/Center
  • Lago Vista, TX
National Provider Identifier
1275166605
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAGO VISTA FAMILY DENTISTRY, PLLC
Practice address
8008 Bronco LN Ste B
Lago Vista, TX 78645-4151
Phone
(512) 277-3311
Fax
(512) 727-7943
NPI assigned
Feb 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Dr. Taran Bhatia, DDS
Title
Owner
Phone
(512) 277-3311

Specialties & licenses 1

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

Addresses

Primary practice location

8008 Bronco LN Ste B
Lago Vista, TX 78645-4151

Mailing address

8008 Bronco LN Ste B
Lago Vista, TX 78645-4151
Phone (512) 277-3311

National Provider Directory

National Provider Directory
Tax ID family
Lago Vista Family Dentistry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8008 Bronco Ln
Ste B
Lago Vista, TX 78645
Phone (512) 277-3311

Practitioners & affiliated clinicians

Practitioners 2

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": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1275166605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 BRONCO LN STE B",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786454151",
            "telephone_number": "512-277-3311",
            "fax_number": "512-727-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 BRONCO LN STE B",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786454151",
            "telephone_number": "512-277-3311",
            "fax_number": "512-727-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGO VISTA FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "TARAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-277-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lago Vista, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.