NPIMap

Organization Active NPI

Alta Dental PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1467926428
Registry record updated Jan 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALTA DENTAL PLLC
Practice address
6104 S 1St St Ste 103
Austin, TX 78745-4052
Phone
(951) 642-0648
NPI assigned
Jan 13, 2019
Last updated
Jan 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2019

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

Authorized official

Name
Mohammad Arif, DDSNPI 1831531896
Title
Owner
Phone
(951) 642-0948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

6104 S 1St St Ste 103
Austin, TX 78745-4052

Mailing address

6104 S 1St St Ste 103
Austin, TX 78745-4052
Phone (951) 642-0948

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547337600000",
    "number": "1467926428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 S 1ST ST STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454052",
            "telephone_number": "951-642-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 S 1ST ST STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454052",
            "telephone_number": "951-642-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-13",
        "last_updated": "2019-01-13",
        "status": "A",
        "authorized_official_last_name": "ARIF",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-642-0948",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2019; 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.