NPIMap

Organization Active NPI

Crystal Falls Dental Associates PLLC

  • General Practice Dentistry
  • Leander, TX
National Provider Identifier
1427335223
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CRYSTAL FALLS DENTAL ASSOCIATES PLLC
Practice address
500 Crystal Falls Parkway
Leander, TX 78641-1921
Phone
(512) 260-7400
Fax
(512) 260-7409
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Jeffrey Thomas Loftus
Title
Owner
Phone
(512) 260-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

500 Crystal Falls Parkway
Leander, TX 78641-1921

Mailing address

500 Crystal Falls Parkway
Leander, TX 78641
Phone (512) 260-7400

National Provider Directory

National Provider Directory

Locations

500 Crystal Falls Pkwy
Leander, TX 78641
Phone (512) 260-7400

Practitioners & affiliated clinicians

Practitioners 3

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": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1427335223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CRYSTAL FALLS PARKWAY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "78641",
            "telephone_number": "512-260-7400",
            "fax_number": "512-260-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CRYSTAL FALLS PARKWAY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411921",
            "telephone_number": "512-260-7400",
            "fax_number": "512-260-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL FALLS DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "LOFTUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-260-7400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.