Organization Active NPI

KG Dental PC

  • Dentist
  • Austin, TX
National Provider Identifier
1437825809
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KG DENTAL PC
Practice address
2550 S Interstate 35 Ste 210
Austin, TX 78704-5724
Phone
(512) 277-7201
NPI assigned
Aug 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Dr. Abhishek Ruparelia
Title
Owner
Phone
(512) 277-7201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2550 S Interstate 35 Ste 210
Austin, TX 78704-5724

Mailing address

2550 S Interstate 35 Ste 210
Austin, TX 78704-5724
Phone (512) 277-7201

Other names 1

  • Blunn Creek Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1437825809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S INTERSTATE 35 STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045724",
            "telephone_number": "512-277-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S INTERSTATE 35 STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045724",
            "telephone_number": "512-277-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KG DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "RUPARELIA",
        "authorized_official_first_name": "ABHISHEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-277-7201",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blunn Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 17, 2021; 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.