Organization Active NPI

Brush 32, Inc

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1619287489
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17815 Issued in TX
Legal business name
BRUSH 32, INC
Practice address
1201 N. Bell Blvd
Cedar Park, TX 78613
Phone
(512) 267-6360
Fax
(512) 267-2448
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Dr. Stella M Caballero, DDS
Title
Secretary
Phone
(512) 267-6360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17815 TX Primary

Addresses

Primary practice location

1201 N. Bell Blvd
Cedar Park, TX 78613

Mailing address

17500 Reed Park Rd
Jonestown, TX 78645-4487
Phone (512) 267-6360

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1619287489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 REED PARK RD",
            "city": "JONESTOWN",
            "state": "TX",
            "postal_code": "786454487",
            "telephone_number": "512-267-6360",
            "fax_number": "512-267-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N. BELL BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-267-6360",
            "fax_number": "512-267-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH 32, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "512-267-6360",
        "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": "17815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.