Active NPI
Enamel Dentistry South Lamar PLLC
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1538515580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30081
- Legal business name
- ENAMEL DENTISTRY SOUTH LAMAR PLLC
- Practice address
- 2717 S Lamar Blvd
Suite 1086
Austin, TX 78704-5044 - Phone
- (512) 717-5315
- NPI assigned
- May 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devishkumar Patel, DDS
- Title
- Owner
- Phone
- (512) 717-5315
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30046 | TX | |
| General Practice Dentistry | 1223G0001X | 30081 | TX | Primary |
Addresses
Primary practice location
2717 S Lamar Blvd
Suite 1086
Austin, TX 78704-5044
Mailing address
2717 S Lamar Blvd
Suite 1086
Austin, TX 78704-5044
Phone (512) 717-5315
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Austin, TX
- NPI 1669906590
-
- Dentist
- Austin, TX
- NPI 1639520844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462752000000",
"number": "1538515580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 S LAMAR BLVD",
"address_2": "SUITE 1086",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045044",
"telephone_number": "512-717-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 S LAMAR BLVD",
"address_2": "SUITE 1086",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045044",
"telephone_number": "512-717-5315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENAMEL DENTISTRY SOUTH LAMAR PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DEVISHKUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-717-5315",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30046",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.