NPIMap

Organization Active NPI

Brush Dental Domain PC

  • Dentist
  • Austin, TX
National Provider Identifier
1669836656
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29515 Issued in TX
Legal business name
BRUSH DENTAL DOMAIN PC
Practice address
3310 W Braker LN
BLDG 1 Suite 100
Austin, TX 78758-7853
Phone
(512) 617-0110
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Viraj Patel, DMD
Title
Owner
Phone
(862) 216-8108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 29515 TX Primary

Addresses

Primary practice location

3310 W Braker LN
BLDG 1 Suite 100
Austin, TX 78758-7853

Mailing address

3310 W Braker LN
BLDG 1 Suite 100
Austin, TX 78758-7853
Phone (512) 617-0110

Other names 1

  • Floss Dental Doing business as

National Provider Directory

National Provider Directory

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": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1669836656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 W BRAKER LN",
            "address_2": "BLDG 1 SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587853",
            "telephone_number": "512-617-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W BRAKER LN",
            "address_2": "BLDG 1 SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587853",
            "telephone_number": "512-617-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH DENTAL DOMAIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIRAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-216-8108",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "29515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floss Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

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