Organization Active NPI

Texdentgroup

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1285915413
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17310 Issued in TX
Legal business name
TEXDENTGROUP
Practice address
1802 Anderson Lane
Austin, TX 78757
Phone
(512) 459-4347
Fax
(512) 459-4348
NPI assigned
Sep 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Robert Hewitt
Title
President
Phone
(512) 762-0378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17310 TX Primary

Addresses

Primary practice location

1802 Anderson Lane
Austin, TX 78757

Mailing address

2609 Padina Dr
Austin, TX 78733-1666
Phone (512) 569-5557

National Provider Directory

National Provider Directory

Locations

1802 W Anderson Ln
Austin, TX 78757
Phone (512) 459-4347

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1285915413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 PADINA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787331666",
            "telephone_number": "512-569-5557",
            "fax_number": "512-263-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 ANDERSON LANE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78757",
            "telephone_number": "512-459-4347",
            "fax_number": "512-459-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXDENTGROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-762-0378"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17310",
            "primary": true
        }
    ],
    "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 Sep 1, 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.