Organization Active NPI

Groovy Dental PLLC

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1639750375
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GROOVY DENTAL PLLC
Doing business as
Groovy Dental PLLC
Practice address
8701 W Parmer LN Ste 200
Austin, TX 78729-4941
Phone
(817) 808-9953
NPI assigned
Apr 15, 2021
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Dr. Alyssa C Dawson, DDSNPI 1063905446
Title
General Dentist
Phone
(817) 808-9953

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 NU Primary

Addresses

Primary practice location

8701 W Parmer LN Ste 200
Austin, TX 78729-4941

Mailing address

1104 Durham Dr
Austin, TX 78753-5818
Phone (817) 808-9953

Other names 1

  • Groovy Dental PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1639750375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 DURHAM DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535818",
            "telephone_number": "817-808-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 W PARMER LN STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787294941",
            "telephone_number": "817-808-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROOVY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "817-808-9953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groovy Dental PLLC",
            "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 Apr 15, 2021; 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.