Dr. Marc Amsili

Primary specialty

DentistTaxonomy code 122300000X

License

31963 Issued in TX

Legal business name

DR. MARC AMSILI

Doing business as

OMNI dental group0

Practice address

12335 Hyemeadow Drive
Ste 250
Austin, TX 78750

Phone

(206) 930-4963

NPI assigned

Jul 15, 2016

Last updated

Jul 15, 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. Samantha HollingerNPI 1295284131

Title

DMD

Phone

(206) 930-4963

Specialties & licenses 1

Addresses

Other names 1

• OMNI dental group0 Doing business as

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.

• Samantha Hollinger, DMD

  • Dentist
  • Austin, TX
  • NPI 1295284131
  NPD (past) Authorized official

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1790138691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 ALAMEDA TRACE CIR",
            "address_2": "#1705",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787277117",
            "telephone_number": "206-930-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 HYEMEADOW DRIVE",
            "address_2": "STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750",
            "telephone_number": "206-930-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARC AMSILI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "HOLLINGER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "206-930-4963",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI dental group0",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dr. Samuel Adams

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.