Organization Active NPI

Enamel Dentistry South Lamar PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1538515580
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30081 Issued in TX
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

Updated by the provider on May 9, 2016

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 30046 TX
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

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": "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.

Verify at the official NPI Registry.