NPIMap

Organization Active NPI

S & N Dental

Doing business as Carnaval Dental

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1578896973
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
18034 Issued in TX
Legal business name
S & N DENTAL
Doing business as
Carnaval Dental
Practice address
8716 Research Blvd
# 125
Austin, TX 78758-6420
Phone
(512) 454-4646
Fax
(512) 419-0561
NPI assigned
Sep 16, 2009
Last updated
Sep 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Mr. Michael Kyle Raymond, DDS
Title
Owner/Dentist
Phone
(512) 454-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 18034 TX Primary

Addresses

Primary practice location

8716 Research Blvd
# 125
Austin, TX 78758-6420

Mailing address

8716 Research Blvd
# 125
Austin, TX 78758-6420
Phone (512) 454-4646

Other names 1

  • Carnaval Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1578896973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 RESEARCH BLVD",
            "address_2": "# 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586420",
            "telephone_number": "512-454-4646",
            "fax_number": "512-419-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 RESEARCH BLVD",
            "address_2": "# 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586420",
            "telephone_number": "512-454-4646",
            "fax_number": "512-419-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & N DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "512-454-4646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carnaval Dental",
            "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 Sep 16, 2009; 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.