Atx Dental Group, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30301 Issued in TX

Legal business name

ATX DENTAL GROUP, PLLC

Practice address

3100 S Congress Ave # 1F
Austin, TX 78704-6427

Phone

(512) 240-6054

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

Victoria Gutwein

Title

Office Manager

Phone

(512) 340-6054

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1659725349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S CONGRESS AVE # 1F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S CONGRESS AVE # 1F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046427",
            "telephone_number": "512-240-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATX DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "GUTWEIN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-340-6054"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3509861-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maninder Atwall, DC
• Darby Atwood, MS, RD, LD
• Deborah Elizabeth Atwood, CRNA, FNP-C
• Michael Atwood, LPC
• Atx Car Service
• Atx Emdr LLC
• Atx Emergency Physicians PLLC
• Atx Eye Care, PLLC (Austin Eye Care)
• Atx Family Therapy PLLC
• Atx Foot & Ankle PLLC

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.