NPIMap

Organization Active NPI

K & N Dental I PLLC

Doing business as Safari Children's Dentistry

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1447520713
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
K & N DENTAL I PLLC
Doing business as
Safari Children's Dentistry
Practice address
101 Colorado St
1605
Austin, TX 78701-4103
Phone
(979) 778-6010
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Dr. Nieku Manshadi, D.D.S.
Title
President
Phone
(979) 778-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

101 Colorado St
1605
Austin, TX 78701-4103

Mailing address

101 Colorado St
1605
Austin, TX 78701-4103
Phone (979) 778-6010

Other names 1

  • Safari Children's 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": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1447520713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLORADO ST",
            "address_2": "1605",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014103",
            "telephone_number": "979-778-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLORADO ST",
            "address_2": "1605",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014103",
            "telephone_number": "979-778-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & N DENTAL I PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "MANSHADI",
        "authorized_official_first_name": "NIEKU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-778-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safari Children's 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 Mar 14, 2014; 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.