Organization Active NPI

FFD Eastside, PLLC

Doing business as Forest Family Dentistry Eastside

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1407509227
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FFD EASTSIDE, PLLC
Doing business as
Forest Family Dentistry Eastside
Practice address
31 Navasota St
Austin, TX 78702-5340
Phone
(512) 334-9894
NPI assigned
Feb 1, 2022
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Lana Eads
Title
Billing Lead
Phone
(512) 761-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

31 Navasota St
Austin, TX 78702-5340

Mailing address

31 Navasota St
Austin, TX 78702-5340

Other names 1

  • Forest Family Dentistry Eastside Doing business as

National Provider Directory

National Provider Directory

Locations

31 Navasota St
Austin, TX 78702
Phone (512) 334-9894

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1407509227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NAVASOTA ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NAVASOTA ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025340",
            "telephone_number": "512-334-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FFD EASTSIDE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "EADS",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "BILLING LEAD",
        "authorized_official_telephone_number": "512-761-2223"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Family Dentistry Eastside",
            "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 Feb 1, 2022; 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.