Organization Active NPI

Prana Dental P.C.

  • General Practice Dentistry
  • Del Valle, TX
National Provider Identifier
1366723595
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21522 Issued in TX
Legal business name
PRANA DENTAL P.C.
Practice address
4529 Hwy 71 E
Del Valle, TX 78617-3280
Phone
(512) 507-3771
NPI assigned
Sep 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Todd R Garcia, DDS
Title
Dentist
Phone
(512) 507-3771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21522 TX Primary

Addresses

Primary practice location

4529 Hwy 71 E
Del Valle, TX 78617-3280

Mailing address

2604 Rock Terrace Dr
Austin, TX 78704-3842
Phone (512) 507-3771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1366723595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 ROCK TERRACE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043842",
            "telephone_number": "512-507-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4529 HWY 71 E",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786173280",
            "telephone_number": "512-507-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "512-507-3771",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Valle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.