NPIMap

Organization Active NPI

Crystal Falls Family Dentistry ,PLLC.

  • General Practice Dentistry
  • Leander, TX
National Provider Identifier
1497955710
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22102 Issued in TX
Legal business name
CRYSTAL FALLS FAMILY DENTISTRY ,PLLC.
Practice address
10703 E Crystal Falls Pkwy
Leander, TX 78641-2259
Phone
(512) 260-9333
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Jonathan Tucker, DDSNPI 1831252840
Title
Owner
Phone
(512) 260-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22102 TX Primary

Addresses

Primary practice location

10703 E Crystal Falls Pkwy
Leander, TX 78641-2259

Mailing address

10703 E Crystal Falls Pkwy
Leander, TX 78641-2259
Phone (512) 260-9333

Other names 1

  • TUCKER FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crystal Falls Family Dentistry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10703 E Crystal Falls Pkwy
Leander, TX 78641
Phone (512) 260-9333

Practitioners & affiliated clinicians

Practitioners 2

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1497955710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10703 E CRYSTAL FALLS PKWY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412259",
            "telephone_number": "512-260-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10703 E CRYSTAL FALLS PKWY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412259",
            "telephone_number": "512-260-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL FALLS FAMILY DENTISTRY ,PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-260-9333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUCKER FAMILY DENTISTRY",
            "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 23, 2008; 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.