Organization Active NPI

Park Family Dental PLLC

  • Dental Clinic/Center
  • Cedar Park, TX
National Provider Identifier
1396501797
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PARK FAMILY DENTAL PLLC
Practice address
111 N Vista Ridge Blvd Ste 101
Cedar Park, TX 78613-2425
Phone
(512) 250-2356
Fax
(512) 250-2356
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Ardita Ormeni, DMDNPI 1821544735
Title
Owner/Dentist
Phone
(512) 250-2356

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

111 N Vista Ridge Blvd Ste 101
Cedar Park, TX 78613-2425

Mailing address

111 N Vista Ridge Blvd Ste 101
Cedar Park, TX 78613-2425
Phone (512) 250-2356

National Provider Directory

National Provider Directory

Locations

111 N Vista Ridge Blvd
Ste 101
Cedar Park, TX 78613
Phone (512) 250-2356

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1396501797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N VISTA RIDGE BLVD STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132425",
            "telephone_number": "512-250-2356",
            "fax_number": "512-250-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N VISTA RIDGE BLVD STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132425",
            "telephone_number": "512-250-2356",
            "fax_number": "512-250-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "ORMENI",
        "authorized_official_first_name": "ARDITA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "512-250-2356",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.