Pflugerville Dental

Primary specialty

DentistTaxonomy code 122300000X

License

20744 Issued in TX

Legal business name

PFLUGERVILLE DENTAL

Practice address

15803 Windermere Dr
Suite 400
Pflugerville, TX 78660-2402

Phone

(512) 670-9991

Fax

(512) 670-3000

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Samir Gupta, D.D.S

Title

Owner/Dentist

Phone

(512) 670-9991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1497026876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15803 WINDERMERE DR",
            "address_2": "SUITE 400",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602402",
            "telephone_number": "512-670-9991",
            "fax_number": "512-670-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15803 WINDERMERE DR",
            "address_2": "SUITE 400",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602402",
            "telephone_number": "512-670-9991",
            "fax_number": "512-670-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFLUGERVILLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "512-670-9991",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.