Oak Creek Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OAK CREEK CORPORATION

Practice address

3100 FM 1431 Ste 500
Round Rock, TX 78681-1158

Phone

(512) 956-5656

Fax

(512) 649-5454

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Srinivas Durshanapalli, DDS

Title

President

Phone

(203) 215-4687

Specialties & licenses 1

Addresses

Other names 1

• Mayfield Ranch Dental Doing business as

Locations

Practitioners 2

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

• Jai Krishna Srikanth Kolliboyana, DDS

  • General Practice Dentistry
  • San Angelo, TX
  • NPI 1194379271
  NPD
• Batoul Mohamed

  • Dentist
  • Round Rock, TX
  • NPI 1316872765
  NPD (past)

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1417639766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CROMWELL DR APT 3211",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406496",
            "telephone_number": "989-423-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 FM 1431 STE 500",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811158",
            "telephone_number": "512-956-5656",
            "fax_number": "512-649-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A",
        "authorized_official_last_name": "DURSHANAPALLI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-215-4687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfield Ranch Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey O'Neal, PH.D.
• Bentley O'Quinn, DPT
• Madison R O'Rear
• Katie O'Reilly, M.D.
• Oak and Ivory Dental
• Jayson Oaks
• Oakvine Recovery Center LLC
• Oakwell Psychiatry
• Oakwood Anesthesia Associates
• Oakwood Surgery Center, LTD., LLP

• Dental Clinic/Center in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.