Renken Dentistry of Texas PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RENKEN DENTISTRY OF TEXAS PLLC

Practice address

5725 Williams Dr Ste 101
Georgetown, TX 78633-2216

Phone

(512) 667-9056

NPI assigned

Sep 13, 2017

Last updated

Nov 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Jones

Title

Administrator

Phone

(512) 667-9056

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Jordan Bolletta, DMD

  • General Practice Dentistry
  • Georgetown, TX
  • NPI 1992376628
  NPD
• Holliston Ann Langendorfer, DMD

  • General Practice Dentistry
  • Georgetown, TX
  • NPI 1952035362
  NPD
• Tiffany Nanthavongdouangsy, DMD

  • General Practice Dentistry
  • Georgetown, TX
  • NPI 1386373025
  NPD
• Preston Hansen, DMD

  • Dentist
  • Leander, TX
  • NPI 1265961478
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1487173266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 WILLIAMS DR",
            "address_2": "SUITE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 WILLIAMS DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332216",
            "telephone_number": "512-667-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENKEN DENTISTRY OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-667-9056"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reign Foundation Inc
• Deann Reinshuttle
• Rely Physical Therapy PLLC
• Heather Remmert
• Renegade Rd LLC
• Renken Dentistry of Texas, PLLC
• Porfiria Andrade Renteria
• Resolve Psychiatric Services
• Respite Haus LLC
• Restore Physical Therapy, LLC

• Dental Clinic/Center in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.