Elite Dental Spa PLLC Dba Horizon Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

25667 Issued in TX

Legal business name

ELITE DENTAL SPA PLLC DBA HORIZON DENTAL

Doing business as

Horizon dental

Practice address

11101 Burnet Rd
Suite a-135
Austin, TX 78758

Phone

(512) 837-0936

Fax

(512) 837-4157

NPI assigned

Jan 30, 2014

Last updated

Jan 12, 2016By 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

Dr. Zeyad B Mughrabi, OWNER/DDS

Title

Dentist/President

Phone

(512) 837-0936

Specialties & licenses 1

Addresses

Other names 1

• Horizon dental Doing business as

Locations

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1740603414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 BURNET RD",
            "address_2": "SUITE A-135",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-837-0936",
            "fax_number": "512-837-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 BURNET RD",
            "address_2": "SUITE A-135",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-837-0936",
            "fax_number": "512-837-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL SPA PLLC DBA HORIZON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "MUGHRABI",
        "authorized_official_first_name": "ZEYAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "512-837-0936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OWNER/DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "25667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.