Organization Active NPI

Red Bud Dental

  • Dentist
  • Round Rock, TX
National Provider Identifier
1669729901
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RED BUD DENTAL
Practice address
3720 Gattis School Rd
Ste 500
Round Rock, TX 78664-4652
Phone
(408) 316-8340
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Allan HsuNPI 1962667279
Title
President
Phone
(408) 316-8340

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3720 Gattis School Rd
Ste 500
Round Rock, TX 78664-4652

Mailing address

610 Greenhill Dr
8303
Round Rock, TX 78665-2200

National Provider Directory

National Provider Directory

Locations

3720 Gattis School Rd
Ste 500
Round Rock, TX 78664
Phone (408) 316-8340

Practitioners & affiliated clinicians

Practitioners 1

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": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1669729901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GREENHILL DR",
            "address_2": "8303",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 GATTIS SCHOOL RD",
            "address_2": "STE 500",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644652",
            "telephone_number": "408-316-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BUD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-316-8340"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.