Roundrcok DSG PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

25904 Issued in TX

Legal business name

ROUNDRCOK DSG PLLC

Practice address

503 E Palm Valley Blvd
Suite #120
Round Rock, TX 78664-3046

Phone

(512) 271-6591

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Pejman Khosravian

Title

Ceo

Phone

(512) 722-6338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Meenal McNary, DDS

  • Endodontics
  • Round Rock, TX
  • NPI 1669584116
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1417305863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E PALM VALLEY BLVD",
            "address_2": "SUITE #120",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643046",
            "telephone_number": "512-271-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E PALM VALLEY BLVD",
            "address_2": "SUITE #120",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643046",
            "telephone_number": "512-271-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUNDRCOK DSG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "KHOSRAVIAN",
        "authorized_official_first_name": "PEJMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-722-6338",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "25904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Round Rock Surgery Center
• Round Rock Surgery Center LLC
• Round Rock Trauma Surgeons, PLLC
• Round Rock TX Caregiving LLC
• Round Rock Wound & Rehab Center, LP
• Roup Dental
• Kimberly A Roup, DDS
• Robert W Roup, D.D.S.
• Richard Roussel, P.T.
• Isaiah Christopher Roy, PA

• Endodontics in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.