Active NPI
Parmer Lane Orthodontics PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Austin, TX
National Provider Identifier
1477049690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30390
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30390 | Other | TX | STATE LICENSE |
Other names 1
- Parmer Lane Orthodontics
National Provider Directory
National Provider DirectoryLocations
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.