Active NPI
Eugene Earl Silvertooth II, DDS
- Dentist
- Round Rock, TX
National Provider Identifier
1366550832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22491
- Practice address
- 16000 Park Valley Dr Ste 100
Longhorn Dental
Round Rock, TX 78681 - Phone
- (512) 244-7995
- Fax
- (512) 310-0451
- NPI assigned
- Aug 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22491 | TX | Primary |
Addresses
Primary practice location
16000 Park Valley Dr Ste 100
Longhorn Dental
Round Rock, TX 78681
Mailing address
7517 Cameron Road Suite 107
Longhorn Dental
Austin, TX 78752
Phone (512) 371-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160504002330 | TX | Order and Referring Only - Dentist | 7810296381 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22491 | TX | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carus Dental PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carus Dental Round Rock
- General Practice Dentistry
- Round Rock, TX
- NPI 1942380670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366550832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7517 CAMERON ROAD SUITE 107",
"address_2": "LONGHORN DENTAL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78752",
"telephone_number": "512-371-1222",
"fax_number": "512-371-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 PARK VALLEY DR STE 100",
"address_2": "LONGHORN DENTAL",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "78681",
"telephone_number": "512-244-7995",
"fax_number": "512-310-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERTOOTH",
"first_name": "EUGENE",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.