Organization Active NPI

Richard Donkersgoed PLLC

  • Dental Clinic/Center
  • Spicewood, TX
National Provider Identifier
1285301150
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RICHARD DONKERSGOED PLLC
Practice address
4900 Bee Creek Rd Ste 104
Spicewood, TX 78669-6776
Phone
(512) 266-6366
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Richard Donkersgoed, DDSNPI 1073934337
Title
Dentist
Phone
(512) 986-0205

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

4900 Bee Creek Rd Ste 104
Spicewood, TX 78669-6776

Mailing address

4900 Bee Creek Rd Ste 104
Spicewood, TX 78669-6776
Phone (512) 266-6366

Other names 1

  • Bee Creek Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4900 Bee Creek Rd
Unit 104
Spicewood, TX 78669
Phone (512) 266-6366

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": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1285301150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BEE CREEK RD STE 104",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696776",
            "telephone_number": "512-266-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BEE CREEK RD STE 104",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696776",
            "telephone_number": "512-266-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD DONKERSGOED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "DONKERSGOED",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "512-986-0205",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bee Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spicewood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.