Alta Dental PLLC

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

Organization subpart

No

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

Authorized official

Name

Mohammad Arif, DDS

Title

Owner

Phone

(951) 642-0948

Specialties & licenses 1

Addresses

Locations

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": []
}

• Marie A Alston, DDS
• Mohammad Hassan Alsumrain, M.D
• Ace H. Alsup III, M.D.
• Jillian Alsup, LAC.
• Tallie Alsup
• Kendall Faith Altaffer, PMHNP-BC
• Lydia Emily Altamiranda
• Taryn Jodi Altendorfer, L.AC
• Linda Marie Altenhoff, DDS
• Altha Psychiatry and Wellness PLLC

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• 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.