Active NPI
KG Dental PC
- Dentist
- Austin, TX
National Provider Identifier
1437825809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryNPI 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.