Organization Active NPI

Theradontics PLLC

  • Pediatric Dentistry
  • Pflugerville, TX
National Provider Identifier
1669193777
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
THERADONTICS PLLC
Practice address
801 Wells Branch Pkwy, Suite 130
Pflugerville, TX 78660
Phone
(512) 887-7816
NPI assigned
Sep 7, 2022
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Dr. Giang H Le, DDSNPI 1508298225
Title
Owner Dentist
Phone
(949) 344-6516

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
General Practice Dentistry 1223G0001X
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

801 Wells Branch Pkwy, Suite 130
Pflugerville, TX 78660

Mailing address

801 Wells Branch Pkwy, Suite 130
Pflugerville, TX 78660
Phone (512) 887-7816

Other identifiers 1

IdentifierTypeStateIssuer
34824OtherTXDENTIST

National Provider Directory

National Provider Directory

Locations

801 W Wells Branch Pkwy
Ste 130
Pflugerville, TX 78660
Phone (512) 887-7816

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": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1669193777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WELLS BRANCH PKWY, SUITE 130",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660",
            "telephone_number": "512-887-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WELLS BRANCH PKWY, SUITE 130",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660",
            "telephone_number": "512-887-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERADONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "GIANG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "949-344-6516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "34824",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.