Organization Active NPI

Simon Garza Jr

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1427329861
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12006 Issued in TX
Legal business name
SIMON GARZA JR
Practice address
2501 W William Cannon Dr BLDG 1
Austin, TX 78745-5281
Phone
(512) 445-7070
Fax
(512) 445-7071
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Dr. Simon Garza Jr., D.D.S.
Title
Owner/Dentist
Phone
(512) 445-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12006 TX Primary

Addresses

Primary practice location

2501 W William Cannon Dr BLDG 1
Austin, TX 78745-5281

Mailing address

2501 W William Cannon Dr BLDG 1
Austin, TX 78745-5281
Phone (512) 445-7070

National Provider Directory

National Provider Directory

Locations

2501 W William Cannon Dr
Bldg 1
Austin, TX 78745
Phone (512) 651-0301

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1427329861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR BLDG 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455281",
            "telephone_number": "512-445-7070",
            "fax_number": "512-445-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR BLDG 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455281",
            "telephone_number": "512-445-7070",
            "fax_number": "512-445-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON GARZA JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "512-445-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.