Organization Active NPI

Sleep Apnea Associates of Texas, PLLC

  • Dentist
  • Lakeway, TX
National Provider Identifier
1467799601
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19858 Issued in TX
Legal business name
SLEEP APNEA ASSOCIATES OF TEXAS, PLLC
Practice address
200 Medical Pkwy
Suite 270
Lakeway, TX 78738-1782
Phone
(512) 730-3623
Fax
(512) 367-5841
NPI assigned
Jan 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Shane E Matt, DMD
Title
Organizer
Phone
(512) 730-3623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19858 TX Primary

Addresses

Primary practice location

200 Medical Pkwy
Suite 270
Lakeway, TX 78738-1782

Mailing address

200 Medical Pkwy
Suite 270
Lakeway, TX 78738-1782
Phone (512) 730-3623

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1467799601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PKWY",
            "address_2": "SUITE 270",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787381782",
            "telephone_number": "512-730-3623",
            "fax_number": "512-367-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PKWY",
            "address_2": "SUITE 270",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787381782",
            "telephone_number": "512-730-3623",
            "fax_number": "512-367-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP APNEA ASSOCIATES OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "MATT",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "512-730-3623",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.