Cedar Smiles Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CEDAR SMILES PEDIATRIC DENTISTRY

Practice address

13625 Ronald W Reagan Blvd BLDG 8-100
Cedar Park, TX 78613-2077

Phone

(512) 236-5111

Fax

(512) 528-5436

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Deepa Naik, DDS

Title

Owner

Phone

(512) 236-5111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1336719269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 RONALD W REAGAN BLVD BLDG 8-100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132077",
            "telephone_number": "512-236-5111",
            "fax_number": "512-528-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 RONALD W REAGAN BLVD BLDG 8-100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132077",
            "telephone_number": "512-236-5111",
            "fax_number": "512-528-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "NAIK",
        "authorized_official_first_name": "DEEPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-236-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214313310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedar Park SNF LLC
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• Cedar Park Surgery Center LLP
• Cedar Park Surgery Center, LLC
• Cedar Park Vision PA
• Mario Cendan, NP
• Central Texas Foot Specialist PA
• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC
• Central Texas Pain Institute, PLLC

• Pediatric Dentistry in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.