Organization Active NPI

Parmer Lane Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Austin, TX
National Provider Identifier
1477049690
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30390 Issued in TX
Legal business name
PARMER LANE ORTHODONTICS PC
Practice address
2121 W Parmer LN Ste 111
Austin, TX 78727-4360
Phone
(512) 793-9325
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Dr. Dip Desai, DDS
Title
Owner
Phone
(517) 793-9325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30390 TX Primary

Addresses

Primary practice location

2121 W Parmer LN Ste 111
Austin, TX 78727-4360

Mailing address

2121 W Parmer LN Ste 111
Austin, TX 78727-4360
Phone (512) 793-9325

Other identifiers 1

IdentifierTypeStateIssuer
30390OtherTXSTATE LICENSE

Other names 1

  • Parmer Lane Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2121 W Parmer Ln
Ste 111
Austin, TX 78727
Phone (512) 793-9325

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1477049690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W PARMER LN STE 111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274360",
            "telephone_number": "512-793-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W PARMER LN STE 111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274360",
            "telephone_number": "512-793-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARMER LANE ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "DIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-793-9325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "30390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "30390",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parmer Lane Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 11, 2018; 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.