Individual provider Active NPI

Christopher Naranjo, DMD

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1568838167
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31264 Issued in TX
Practice address
1301 W 25TH St Ste 402
Austin, TX 78705-4236
Phone
(512) 472-3565
Fax
(512) 472-1210
NPI assigned
Aug 18, 2015
Last updated
May 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31264 TX Primary

Addresses

Primary practice location

1301 W 25TH St Ste 402
Austin, TX 78705-4236

Mailing address

1301 W 25TH St Ste 402
Austin, TX 78705-4236
Phone (512) 472-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205001489 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769786011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31264TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Professional Dental General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1568838167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 25TH ST STE 402",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054236",
            "telephone_number": "512-472-3565",
            "fax_number": "512-472-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 25TH ST STE 402",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054236",
            "telephone_number": "512-472-3565",
            "fax_number": "512-472-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARANJO",
        "first_name": "CHRISTOPHER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.