Organization Active NPI

D&G Dental Associates PLLC

Doing business as Kelly Lane Dentistry

  • Dentist
  • Pflugerville, TX
National Provider Identifier
1366008971
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
D&G DENTAL ASSOCIATES PLLC
Doing business as
Kelly Lane Dentistry
Practice address
2100 Autumn Slate Dr Ste 120
Pflugerville, TX 78660-6033
Phone
(512) 678-9999
NPI assigned
May 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Yunyi Ding, DDSNPI 1528406691
Title
Operating Member
Phone
(210) 995-4492

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2100 Autumn Slate Dr Ste 120
Pflugerville, TX 78660-6033

Mailing address

2100 Autumn Slate Dr Ste 120
Pflugerville, TX 78660-6033

Other names 1

  • Kelly Lane Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Autumn Slate Dr
Ste 120
Pflugerville, TX 78660
Phone (361) 688-4738

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1366008971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 AUTUMN SLATE DR STE 120",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 AUTUMN SLATE DR STE 120",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606033",
            "telephone_number": "512-678-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&G DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "DING",
        "authorized_official_first_name": "YUNYI",
        "authorized_official_title_or_position": "OPERATING MEMBER",
        "authorized_official_telephone_number": "210-995-4492",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Lane Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.