Organization Active NPI

Marble Falls Dental PLLC

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1639521610
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
29040 Issued in TX
Legal business name
MARBLE FALLS DENTAL PLLC
Practice address
2900 N Quinlan Park Rd
Suite 160
Austin, TX 78732-6083
Phone
(512) 266-9585
NPI assigned
Jul 1, 2016
Last updated
Jul 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Meagan Scarborough, DDSNPI 1417395658
Title
Owner
Phone
(512) 266-9585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 29040 TX Primary

Addresses

Primary practice location

2900 N Quinlan Park Rd
Suite 160
Austin, TX 78732-6083

Mailing address

2900 N Quinlan Park Rd
Suite 160
Austin, TX 78732-6083

Other identifiers 1

IdentifierTypeStateIssuer
29040OtherTXDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

2900 N Quinlan Park Rd
Ste 160
Austin, TX 78732
Phone (512) 266-9585

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": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1639521610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N QUINLAN PARK RD",
            "address_2": "SUITE 160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N QUINLAN PARK RD",
            "address_2": "SUITE 160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326083",
            "telephone_number": "512-266-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE FALLS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "SCARBOROUGH",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-266-9585",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "29040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "29040",
            "state": "TX"
        }
    ],
    "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 Jul 1, 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.