TX DDS Alliance - Marbella, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TX DDS ALLIANCE - MARBELLA, LLC

Doing business as

Cedar Park Dental & Braces

Practice address

115 S Lakeline Blvd Ste 200
Cedar Park, TX 78613-2762

Phone

(512) 640-3360

NPI assigned

May 1, 2020

Last updated

Jul 16, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

TX DDS ALLIANCE - MARBELLA, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Bryan Stimmler, DDS

Title

Owner

Phone

(512) 410-1436

Specialties & licenses 1

Addresses

Other names 1

• Cedar Park Dental & Braces Doing business as

Tax ID family

TX DDS Alliance - Marbella LLC2 organizations share this tax ID, including this one

Part of

TX DDS Alliance - Marbella LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• TX DDS Alliance - Marbella, LLC

  dba Marbella Dentistry

  • Dental Clinic/Center
  • Cibolo, TX
  • NPI 1225678956
  NPD tax ID

Locations

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.

• Ashton Muniz, DDS

  • General Practice Dentistry
  • Cedar Park, TX
  • NPI 1164154217
  NPD
• Vian G Tarzi

  • Dentist
  • Cedar Park, TX
  • NPI 1902384415
  NPD

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1376164251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S LAKELINE BLVD STE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132762",
            "telephone_number": "512-640-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S LAKELINE BLVD STE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132762",
            "telephone_number": "512-640-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TX DDS ALLIANCE - MARBELLA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TX DDS ALLIANCE - MARBELLA, LLC",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "STIMMLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-410-1436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Park Dental & Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Park Dental & Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara A Tuttle, D.C.
• Heather Tvinnereim, FNP-C
• Sally Jane Twellman, RD,LD
• Twinsca, PLLC (Town Center Dental)
• Two Therapies in a Pod, PLLC (Two Therapies In A Pod)
• Txim, PLLC (Central Texas Integrative Medicine)
• Vivian Tzec, BCBA
• U S Anesthesia Partners of Texas, PA
• Nkechinyere Udenyi, MD
• Farah Galo Ulat

• Dental Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.