Individual provider Active NPI

Adam Garaas, DMD

  • General Practice Dentistry
  • Georgetown, TX
National Provider Identifier
1689009771
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29459 Issued in TX
Practice address
2411 Williams Dr
Ste 111
Georgetown, TX 78628-3271
Phone
(512) 864-1445
NPI assigned
Sep 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29459 TX Primary

Addresses

Primary practice location

2411 Williams Dr
Ste 111
Georgetown, TX 78628-3271

Mailing address

205 E University Ave
Ste 200
Georgetown, TX 78626-6814
Phone (512) 868-1124

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adam.garaas.p1@direct.lscctx.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29459TXMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: roanne.shoubaki.p1@direct.lscctx.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1378512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1689009771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE",
            "address_2": "STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266814",
            "telephone_number": "512-868-1124",
            "fax_number": "512-868-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 WILLIAMS DR",
            "address_2": "STE 111",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283271",
            "telephone_number": "512-864-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAAS",
        "first_name": "ADAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-07",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.garaas.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2411 Williams Dr",
            "address_2": "ste 111",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786283271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.