Specialty Dental Partners of Austin PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21635 Issued in TX

Legal business name

SPECIALTY DENTAL PARTNERS OF AUSTIN PLLC

Practice address

4308 N Quinlan Park Rd Ste 201
Austin, TX 78732-6071

Phone

(512) 212-7503

Fax

(512) 266-6197

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Nancy Schiaparelli

Title

Chief Financial Officer

Phone

(727) 800-8040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1659749810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 4TH ST N STE 201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013889",
            "telephone_number": "727-800-8026",
            "fax_number": "727-304-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 N QUINLAN PARK RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326071",
            "telephone_number": "512-212-7503",
            "fax_number": "512-266-6197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Gateway Central Ste 201",
            "address_purpose": "LOCATION",
            "city": "Marble Falls",
            "state": "TX",
            "postal_code": "786546356",
            "country_code": "US",
            "telephone_number": "830-693-7044",
            "fax_number": "830-693-2069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14005 N Hwy 183 Ste 800",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787175960",
            "country_code": "US",
            "telephone_number": "512-212-7517",
            "fax_number": "512-583-0675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY DENTAL PARTNERS OF AUSTIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "SCHIAPARELLI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-800-8040"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.