Gregory C. Thiel, DDS, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21648 Issued in TX

Legal business name

GREGORY C. THIEL, DDS, PLLC

Doing business as

Thiel Pediatric Dentistry

Practice address

3775 S. Capital of Texas Hwy.
Suite 292
Austin, TX 78704-7908

Phone

(512) 892-0013

Fax

(512) 892-3359

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gregory C Thiel, DDS

Title

Owner.

Phone

(512) 892-0013

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thiel Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1467718577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 S. CAPITAL OF TEXAS HWY.",
            "address_2": "SUITE 292",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047908",
            "telephone_number": "512-892-0013",
            "fax_number": "512-892-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 S. CAPITAL OF TEXAS HWY.",
            "address_2": "SUITE 292",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047908",
            "telephone_number": "512-892-0013",
            "fax_number": "512-892-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY C. THIEL, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "THIEL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER.",
        "authorized_official_telephone_number": "512-892-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165426102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thiel Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregg E Kamnetz O.D., P.C. (Texas State Optical)
• Gregg Edward Ueckert, PLLC (Gregg E. Ueckert, DDS)
• Andrea Gregg, LCSW
• Kristy Gregg, OTR
• Simone J Gregoire, M.S., CCC-SLP
• Ali Gregory, OT
• Brenda Gregory
• Cindy Gregory
• Emily Ann Gregory, OTD, OTR
• Julie M Gregory, COTA

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.