MDG Balcones PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MDG BALCONES PLLC

Doing business as

Martin Dental Group Balcones

Practice address

6500 N Mopac Expressway
BLDG 2 Ste 2103
Austin, TX 78731

Phone

(512) 346-3427

NPI assigned

Oct 22, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Navarro

Title

Chief Finance Officer

Phone

(713) 677-9983

Specialties & licenses 1

Addresses

Other names 1

• Martin Dental Group Balcones Doing business as

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1417778481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 KATY FWY STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241632",
            "telephone_number": "713-465-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MOPAC EXPRESSWAY",
            "address_2": "BLDG 2 STE 2103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-346-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDG BALCONES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "713-677-9983",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Dental Group Balcones",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.