Organization Active NPI

Planet Smile Dental Centers, PLLC

  • General Practice Dentistry
  • Pflugerville, TX
National Provider Identifier
1417253105
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22132 Issued in TX
Legal business name
PLANET SMILE DENTAL CENTERS, PLLC
Practice address
15424 FM 1825
Building 1, Suite 120
Pflugerville, TX 78660-3142
Phone
(512) 308-0270
NPI assigned
Jan 28, 2011
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Ronald Caldwell, DDSNPI 1417010489
Title
Owner
Phone
(512) 809-4228

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
General Practice Dentistry 1223G0001X 22132 TX Primary

Addresses

Primary practice location

15424 FM 1825
Building 1, Suite 120
Pflugerville, TX 78660-3142

Mailing address

15424 FM 1825
Building 1, Suite 120
Pflugerville, TX 78660-3142
Phone (512) 308-0270

National Provider Directory

National Provider Directory

Locations

15424 FM 1825
Ste 120
Pflugerville, TX 78660
Phone (512) 308-0270

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1417253105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15424 FM 1825",
            "address_2": "BUILDING 1, SUITE 120",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603142",
            "telephone_number": "512-308-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15424 FM 1825",
            "address_2": "BUILDING 1, SUITE 120",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603142",
            "telephone_number": "512-308-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET SMILE DENTAL CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-809-4228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.