NPIMap

Organization Active NPI

Ibth Dental PLLC/Krommenhoek and Hanle, D.D.S

  • Dentist
  • Austin, TX
National Provider Identifier
1740624634
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24849 Issued in TX
Legal business name
IBTH DENTAL PLLC/KROMMENHOEK AND HANLE, D.D.S
Doing business as
Dr. Dallas Krommenhoek DDS and Dr. Arlen J Hanle DDS
Practice address
4105 Westbank Dr
Suite 103
Austin, TX 78746-4455
Phone
(512) 327-6908
Fax
(512) 327-6695
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Dr. Dallas KrommenhoekNPI 1477783132
Title
Dentist
Phone
(512) 327-6908

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 24849 TX Primary

Addresses

Primary practice location

4105 Westbank Dr
Suite 103
Austin, TX 78746-4455

Mailing address

6341 Spanish Oaks Club Blvd
Austin, TX 78738-6040
Phone (512) 327-6908

Other names 1

  • Dr. Dallas Krommenhoek DDS and Dr. Arlen J Hanle DDS Doing business as

National Provider Directory

National Provider Directory

Locations

4105 Westbank Dr
Ste 103
Austin, TX 78746
Phone (512) 327-6908

Practitioners & affiliated clinicians

Practitioners 4

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": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1740624634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 SPANISH OAKS CLUB BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386040",
            "telephone_number": "512-327-6908",
            "fax_number": "512-327-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 WESTBANK DR",
            "address_2": "SUITE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464455",
            "telephone_number": "512-327-6908",
            "fax_number": "512-327-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBTH DENTAL PLLC/KROMMENHOEK AND HANLE, D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "KROMMENHOEK",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "512-327-6908",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Dallas Krommenhoek DDS and Dr. Arlen J Hanle DDS",
            "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 22, 2013; 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.