Individual provider Active NPI

Honey Sue Bargatze, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1295893378
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39211 Issued in TX
Practice address
Trails Dental Group and Orthodontics
8300 FM 620 N Building G Ste 100
Austin, TX 78726
Phone
(512) 331-0359
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39211 TX Primary

Addresses

Primary practice location

Trails Dental Group and Orthodontics
8300 FM 620 N Building G Ste 100
Austin, TX 78726

Mailing address

15222 FM 620 N Apt 5109
Austin, TX 78717-5129
Phone (615) 364-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39211TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bargatze Family Dentistry Dentist Current Accepting new patients
Leila Zamiri DDS Inc General Practice PastSince Oct 1, 2019 Accepting new patients

Locations

522A Brandies Cir
Murfreesboro, TN 37128
Phone (615) 217-1414

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1295893378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15222 FM 620 N APT 5109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175129",
            "telephone_number": "615-364-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRAILS DENTAL GROUP AND ORTHODONTICS",
            "address_2": "8300 FM 620 N BUILDING G STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78726",
            "telephone_number": "512-331-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGATZE",
        "first_name": "HONEY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39211",
            "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 Jun 6, 2024; 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.