NPIMap

Organization Active NPI

Family Tree Dental Group

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1659655199
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22794 Issued in TX
Legal business name
FAMILY TREE DENTAL GROUP
Practice address
5310 Burnet Rd
Suite 108
Austin, TX 78756-2003
Phone
(512) 458-5999
Fax
(512) 355-1291
NPI assigned
Oct 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Dr. Chadwick Rhett Denman, D.D.S.
Title
Practice Owner
Phone
(512) 458-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22794 TX Primary

Addresses

Primary practice location

5310 Burnet Rd
Suite 108
Austin, TX 78756-2003

Mailing address

5310 Burnet Road
Suite 108
Austin, TX 78756
Phone (512) 458-5999

National Provider Directory

National Provider Directory

Locations

5310 Burnet Rd
Ste 108
Austin, TX 78756
Phone (512) 458-5999

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1659655199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 BURNET ROAD",
            "address_2": "SUITE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78756",
            "telephone_number": "512-458-5999",
            "fax_number": "512-355-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 BURNET RD",
            "address_2": "SUITE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562003",
            "telephone_number": "512-458-5999",
            "fax_number": "512-355-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "DENMAN",
        "authorized_official_first_name": "CHADWICK",
        "authorized_official_middle_name": "RHETT",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "512-458-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22794",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 3, 2011; 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.