Organization Active NPI

Prosthodontics of Texas P.C.

  • Prosthetic/Orthotic Supplier
  • Austin, TX
National Provider Identifier
1336515436
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
28864 Issued in TX
Legal business name
PROSTHODONTICS OF TEXAS P.C.
Practice address
5301 Davis Lane
Suite 101
Austin, TX 78749
Phone
(512) 960-4225
Fax
(512) 960-4800
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Dr. Stewart Whitney Pharr, DMD
Title
Owner
Phone
(512) 960-4225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X 28864 TX Primary

Addresses

Primary practice location

5301 Davis Lane
Suite 101
Austin, TX 78749

Mailing address

5301 Davis Lane
Suite 101
Austin, TX 78749
Phone (512) 960-4225

National Provider Directory

National Provider Directory

Locations

5301 Davis Ln
Ste 101
Austin, TX 78749
Phone (225) 775-0160

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": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1336515436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 DAVIS LANE",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78749",
            "telephone_number": "512-960-4225",
            "fax_number": "512-960-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 DAVIS LANE",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78749",
            "telephone_number": "512-960-4225",
            "fax_number": "512-960-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHODONTICS OF TEXAS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "PHARR",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-960-4225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "28864",
            "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 Nov 13, 2015; 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.