Organization Active NPI

Derby Dental Care, PLLC

  • Dentist
  • Austin, TX
National Provider Identifier
1750826608
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29047 Issued in TX
Legal business name
DERBY DENTAL CARE, PLLC
Practice address
3410 Far West Blvd
Ste 340
Austin, TX 78731-3194
Phone
(512) 795-0128
Fax
(512) 795-8393
NPI assigned
Jan 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Authorized official

Name
Dr. Erika L Whitehouse, D.M.D.NPI 1861820052
Title
Dentist
Phone
(270) 485-1472

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 29047 TX Primary

Addresses

Primary practice location

3410 Far West Blvd
Ste 340
Austin, TX 78731-3194

Mailing address

3410 Far West Blvd
Ste 340
Austin, TX 78731-3194
Phone (512) 795-0128

National Provider Directory

National Provider Directory

Locations

3410 Far West Blvd
Ste 340
Austin, TX 78731
Phone (512) 795-0128

Practitioners & affiliated clinicians

Practitioners 2

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": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483315200000",
    "number": "1750826608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD",
            "address_2": "STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313194",
            "telephone_number": "512-795-0128",
            "fax_number": "512-795-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD",
            "address_2": "STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313194",
            "telephone_number": "512-795-0128",
            "fax_number": "512-795-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERBY DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A",
        "authorized_official_last_name": "WHITEHOUSE",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "270-485-1472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "29047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 2, 2017; 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.