NPIMap

Organization Active NPI

Amor Dental Care PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1447526223
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23085 Issued in TX
Legal business name
AMOR DENTAL CARE PLLC
Practice address
1302 W Rundberg LN
Austin, TX 78758-6238
Phone
(512) 491-0077
Fax
(512) 491-0796
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Junaid Khan, DDS
Title
Owner
Phone
(740) 803-0150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 23085 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 23671 TX

Addresses

Primary practice location

1302 W Rundberg LN
Austin, TX 78758-6238

Mailing address

1302 W Rundberg LN
Austin, TX 78758-6238
Phone (512) 491-0077

Other identifiers 2

IdentifierTypeStateIssuer
1477731537MedicaidTX
1679679120MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Amor Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1302 W Rundberg Ln
Austin, TX 78758
Phone (512) 491-0077

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1447526223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 W RUNDBERG LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586238",
            "telephone_number": "512-491-0077",
            "fax_number": "512-491-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 W RUNDBERG LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586238",
            "telephone_number": "512-491-0077",
            "fax_number": "512-491-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOR DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-803-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23085",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477731537",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679679120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 27, 2012; 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.