NPIMap

Organization Active NPI

BCD Dental Group, PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1508305335
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25628 Issued in TX
Legal business name
BCD DENTAL GROUP, PLLC
Practice address
8015 Shoal Creek Blvd Ste 108
Austin, TX 78757-8051
Phone
(512) 454-5219
NPI assigned
Feb 13, 2017
Organization subpart
Yes
Parent organization
BCD DENTAL GROUP, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Kevin Deutsch, DDS
Title
President
Phone
(512) 452-8262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25628 TX Primary

Addresses

Primary practice location

8015 Shoal Creek Blvd Ste 108
Austin, TX 78757-8051

Mailing address

8015 Shoal Creek Blvd Ste 108
Austin, TX 78757-8051

Other names 1

  • My Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BCD Dental Group PLLC2 organizations share this tax ID, including this one
Part of
BCD Dental Group PLLC

Other organizations with this tax ID 1

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

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 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": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1508305335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 SHOAL CREEK BLVD STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 SHOAL CREEK BLVD STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578051",
            "telephone_number": "512-454-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCD DENTAL GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BCD DENTAL GROUP, PLLC",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-452-8262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentist",
            "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 Feb 13, 2017; 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.