MDG Round Rock PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MDG ROUND ROCK PLLC

Doing business as

Martin Dental Group

Practice address

16 Chisholm Trail Rd
Round Rock, TX 78681-5043

Phone

(512) 846-9051

NPI assigned

Jun 28, 2023

Last updated

Jun 28, 2023By 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

Ms. Theresa Navarro

Title

Chief Finance Officier

Phone

(713) 677-9983

Specialties & licenses 1

Addresses

Other names 1

• Martin Dental Group Doing business as

Locations

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1710664131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 KATY FWY STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241632",
            "telephone_number": "713-465-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CHISHOLM TRAIL RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815043",
            "telephone_number": "512-846-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDG ROUND ROCK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CHIEF FINANCE OFFICIER",
        "authorized_official_telephone_number": "713-677-9983",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leisa Fredholm McPherson, NNP
• Minnie Avendano McQuade
• Jadyn Alliana McQueen
• Jacqueline Eileen McRoberts, P.T.
• Arthur N.S. McUnu, MD
• Mealey Therapies
• Medco Pro Transport
• Carol Lynn Medeiros, MS, SLP
• Medfetch, Limited Liability Company
• Medical Plus Supplies Inc

• General Practice Dentistry in Round Rock, TX
• Providers in Round Rock, TX by specialty
• General Practice Dentistry in Texas

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