Organization Active NPI

La Frontera Dental PLLC

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1790127538
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27257 Issued in TX
Legal business name
LA FRONTERA DENTAL PLLC
Practice address
2711 La Frontera Blvd
Suite 270
Round Rock, TX 78681-8005
Phone
(512) 358-1215
Fax
(512) 358-1266
NPI assigned
Jul 22, 2013
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. Satyanarayanan T Thirumalai, DMDNPI 1801021605
Title
Owner
Phone
(512) 358-1215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27257 TX Primary

Addresses

Primary practice location

2711 La Frontera Blvd
Suite 270
Round Rock, TX 78681-8005

Mailing address

2711 La Frontera Blvd
Suite 270
Round Rock, TX 78681-8005
Phone (512) 358-1215

National Provider Directory

National Provider Directory

Locations

2711 La Frontera Blvd
Ste 270
Round Rock, TX 78681
Phone (512) 358-1215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1790127538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 LA FRONTERA BLVD",
            "address_2": "SUITE 270",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818005",
            "telephone_number": "512-358-1215",
            "fax_number": "512-358-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 LA FRONTERA BLVD",
            "address_2": "SUITE 270",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818005",
            "telephone_number": "512-358-1215",
            "fax_number": "512-358-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FRONTERA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "THIRUMALAI",
        "authorized_official_first_name": "SATYANARAYANAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-358-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

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