Organization Active NPI

Capital Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Austin, TX
National Provider Identifier
1750551925
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19179 Issued in TX
Legal business name
CAPITAL ORTHODONTICS PA
Practice address
10119 Lake Creek Pkwy
Ste 1
Austin, TX 78729-1757
Phone
(512) 258-6979
Fax
(512) 250-0381
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Dr. Farrah Agahi, DMD
Title
President
Phone
(512) 258-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 19179 TX Primary

Addresses

Primary practice location

10119 Lake Creek Pkwy
Ste 1
Austin, TX 78729-1757

Mailing address

10119 Lake Creek Pkwy
Ste 1
Austin, TX 78729-1757
Phone (512) 258-6979

Other names 1

  • Smiles by Dr Farrah Other name

National Provider Directory

National Provider Directory

Locations

10119 Lake Creek Pkwy
Ste 1
Austin, TX 78729
Phone (512) 258-6979

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1750551925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 LAKE CREEK PKWY",
            "address_2": "STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787291757",
            "telephone_number": "512-258-6979",
            "fax_number": "512-250-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 LAKE CREEK PKWY",
            "address_2": "STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787291757",
            "telephone_number": "512-258-6979",
            "fax_number": "512-250-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "AGAHI",
        "authorized_official_first_name": "FARRAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-258-6979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "19179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles by Dr Farrah",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 23, 2012; 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.