Tda 1a Espinoza PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

29835 Issued in TX

Legal business name

TDA 1A ESPINOZA PLLC

Doing business as

Fourpoints Dental

Practice address

7301 N FM 620 Ste 150
Austin, TX 78726-4538

Phone

(512) 872-2223

NPI assigned

Jul 28, 2015

Last updated

Jul 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert George

Title

Manager

Phone

(512) 872-2222

Specialties & licenses 1

Addresses

Other names 1

• Fourpoints Dental Doing business as

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1659756971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 N FM 620 STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N FM 620 STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264538",
            "telephone_number": "512-872-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDA 1A ESPINOZA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-872-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fourpoints Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.