Organization Active NPI

Dental Salon PLLC

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1427409374
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28861 Issued in TX
Legal business name
DENTAL SALON PLLC
Practice address
13625 Ronald W Reagan Blvd BLDG 4
Cedar Park, TX 78613-2073
Phone
(512) 980-0089
NPI assigned
Jun 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Ana M TorresNPI 1689664500
Title
President
Phone
(773) 532-9367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28861 TX Primary

Addresses

Primary practice location

13625 Ronald W Reagan Blvd BLDG 4
Cedar Park, TX 78613-2073

Mailing address

16313 Double Eagle Dr
Austin, TX 78717-3817
Phone (773) 532-9367

National Provider Directory

National Provider Directory

Locations

13625 Ronald W Reagan Blvd
Bldg 4
Cedar Park, TX 78613
Phone (512) 766-7803

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1427409374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16313 DOUBLE EAGLE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787173817",
            "telephone_number": "773-532-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 RONALD W REAGAN BLVD BLDG 4",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132073",
            "telephone_number": "512-980-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SALON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-532-9367"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.