Organization Active NPI

Affordable Dentures & Implants - Texas X, PLLC

Doing business as Affordable Dentures & Implants - Cedar Park

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1407607294
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - TEXAS X, PLLC
Doing business as
Affordable Dentures & Implants - Cedar Park
Practice address
1335 E. Whitestone Blvd.
BLDG D. , Suite 145
Cedar Park, TX 78613
Phone
(737) 243-1927
NPI assigned
Mar 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Nukala Reddy, DDS
Title
Managing Dentist
Phone
(737) 243-1927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1335 E. Whitestone Blvd.
BLDG D. , Suite 145
Cedar Park, TX 78613

Mailing address

1335 E. Whitestone Blvd.
BLDG D. , Suite 145
Cedar Park, TX 78613
Phone (737) 243-1927

Other names 1

  • Affordable Dentures & Implants - Cedar Park Doing business as

National Provider Directory

National Provider Directory

Locations

1335 E Whitestone Blvd
Bldg D145
Cedar Park, TX 78613
Phone (737) 243-1927

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1407607294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 E. WHITESTONE BLVD.",
            "address_2": "BLDG D. , SUITE 145",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "737-243-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E. WHITESTONE BLVD.",
            "address_2": "BLDG D. , SUITE 145",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "737-243-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - TEXAS X, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NUKALA",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "737-243-1927",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Cedar Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affordable Dentures & Implants - Cedar Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 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.