Organization Active NPI

Garland Florida PLLC

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1629719836
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GARLAND FLORIDA PLLC
Doing business as
Enable Dental
Practice address
5555 N Lamar Blvd
Ste H125
Austin, TX 78751-1096
Phone
(866) 988-4504
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Benjamin Tiggelaar
Title
Authorized Agent
Phone
(866) 988-4504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5555 N Lamar Blvd
Ste H125
Austin, TX 78751-1096

Mailing address

5555 N Lamar Blvd
Ste H125
Austin, TX 78751-1096
Phone (866) 988-4504

Other names 1

  • Enable Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5555 N Lamar Blvd
Ste H125
Austin, TX 78751
Phone (512) 861-1337

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1629719836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD",
            "address_2": "STE H125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511096",
            "telephone_number": "866-988-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD",
            "address_2": "STE H125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511096",
            "telephone_number": "866-988-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "TIGGELAAR",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "866-988-4504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enable 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 Jul 1, 2024; 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.