Organization Active NPI

Somerica Dental, PC

  • General Practice Dentistry
  • Leander, TX
National Provider Identifier
1487173258
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30545 Issued in TX
Legal business name
SOMERICA DENTAL, PC
Practice address
2906 S Bagdad Rd Ste 100
Leander, TX 78641-3269
Phone
(512) 259-1250
Fax
(512) 259-1250
NPI assigned
Sep 13, 2017
Organization subpart
Yes
Parent organization
SOMERICA DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Joshua Owen Daab
Title
General Manager/Owner
Phone
(512) 259-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30545 TX Primary

Addresses

Primary practice location

2906 S Bagdad Rd Ste 100
Leander, TX 78641-3269

Mailing address

2906 S Bagdad Rd Ste 100
Leander, TX 78641-3269
Phone (512) 259-1250

Other practice location 1

4613 Bee Caves Rd Ste 101
West Lake Hills, TX 78746-5206
Phone (512) 327-1222

Other names 2

  • Live Oak Family Dental Care Doing business as
  • Live Oak Family Dental Care - Westlake Doing business as

National Provider Directory

National Provider Directory
Part of
Somerica Dental PC

Locations

2906 S Bagdad Rd
Ste 100
Leander, TX 78641
Phone (512) 259-1250

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1487173258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 S BAGDAD RD STE 100",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413269",
            "telephone_number": "512-259-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 S BAGDAD RD STE 100",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413269",
            "telephone_number": "512-259-1250",
            "fax_number": "512-259-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4613 Bee Caves Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465206",
            "country_code": "US",
            "telephone_number": "512-327-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOMERICA DENTAL, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMERICA DENTAL PC",
        "enumeration_date": "2017-09-13",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DAAB",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "GENERAL MANAGER/OWNER",
        "authorized_official_telephone_number": "512-259-1250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Live Oak Family Dental Care - Westlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.