Max O Kerr DDS P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

25202 Issued in TX

Legal business name

MAX O KERR DDS P.C.

Practice address

920 N Vista Ridge Blvd
Suite 700
Cedar Park, TX 78613-7637

Phone

(512) 402-7811

NPI assigned

May 6, 2013

Organization subpart

No

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

Authorized official

Name

Max Kerr, DDS

Title

President

Phone

(210) 326-5744

Specialties & licenses 1

Addresses

Other names 1

• Vista Ridge Family Dentistry Doing business as

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1447695358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N VISTA RIDGE BLVD",
            "address_2": "SUITE 700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137637",
            "telephone_number": "512-402-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N VISTA RIDGE BLVD",
            "address_2": "SUITE 700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137637",
            "telephone_number": "512-402-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX O KERR DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-326-5744",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "25202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Ridge Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caleb Oliver Matthews, MA, LPC, LMFT
• Vicki Matthews, LMT
• Tara Matus, PH.D.
• Bessy Matute
• Christy Lee Mawdsley, LAC
• Brittany May, DC
• Rochelle M Mayfield, D.C.
• Larisa Maytesyan
• Jean Chinonye Mbachu, M.D.
• Christine Ugonma Mbakwe

• Dental Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.