The Parkside Dentist

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25859 Issued in TX

Legal business name

THE PARKSIDE DENTIST

Practice address

10001 S Interstate 35
Suite 305
Austin, TX 78747-1701

Phone

(512) 280-1216

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Rex Briones, DDS

Title

Owner/Dentist

Phone

(512) 280-1216

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1386911634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S INTERSTATE 35",
            "address_2": "SUITE 305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787471701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S INTERSTATE 35",
            "address_2": "SUITE 305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787471701",
            "telephone_number": "512-280-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PARKSIDE DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "BRIONES",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "512-280-1216",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.