Organization Active NPI

Canvas Dental PLLC

Doing business as Canvas Dental

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1386136810
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CANVAS DENTAL PLLC
Doing business as
Canvas Dental
Practice address
8517 FM 1826
BLDG 1 St 500
Austin, TX 78737
Phone
(512) 646-4505
Fax
(512) 646-4128
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Andres Arismendi III, DDSNPI 1538617378
Title
Member
Phone
(512) 983-1139

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8517 FM 1826
BLDG 1 St 500
Austin, TX 78737

Mailing address

3621 W Slaughter LN Apt 134
Austin, TX 78749-5904

Other names 1

  • Canvas Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8517 FM 1826
Ste 500
Austin, TX 78737
Phone (512) 646-4505

Practitioners & affiliated clinicians

Practitioners 1

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": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1386136810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 W SLAUGHTER LN APT 134",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787495904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 FM 1826",
            "address_2": "BLDG 1 ST 500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78737",
            "telephone_number": "512-646-4505",
            "fax_number": "512-646-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANVAS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "ARISMENDI",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-983-1139",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canvas Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.