Pevzner DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PEVZNER DDS PLLC

Practice address

3301 Northland Dr Ste 310
Austin, TX 78731-4952

Phone

(512) 451-4412

NPI assigned

Mar 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Yonatan Pevzner, DDSNPI 1376001545

Title

Owner, Dentist

Phone

(516) 467-9336

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yonatan Pevzner, DDS

  • General Practice Dentistry
  • Cedar Park, TX
  • NPI 1376001545
  NPD (past) Authorized official

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615075200000",
    "number": "1386239762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NORTHLAND DR STE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314952",
            "telephone_number": "512-451-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NORTHLAND DR STE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314952",
            "telephone_number": "512-451-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEVZNER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A",
        "authorized_official_last_name": "PEVZNER",
        "authorized_official_first_name": "YONATAN",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "516-467-9336",
        "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": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yonatanp@buffalo.edu",
            "affiliation": "N",
            "endpointDescription": "Private Email Address, multi-step security authentication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3301 Northland Dr Ste 310",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787314952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amela Rizvic Petty
• Bryn Petty, SLP
• Faraji Petty
• Gabriel Lewis Petty, PA
• Gerald Bernard Pevow, DMD
• Alexandria Peynado
• Kathleen Pezan
• Margaret Pfaff
• Donna Pfeffer, MED, LPC
• F. Michael Pfeifer II, MD

• Dental Clinic/Center in Austin, TX
• Providers in Austin, 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 Mar 7, 2021; 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.