Organization Active NPI

D4C of Texas PLLC

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1790370542
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
D4C OF TEXAS PLLC
Practice address
14058 Bee Cave Pkwy Ste B
Austin, TX 78738-7144
Phone
(512) 402-9996
NPI assigned
Mar 3, 2021
Last updated
Mar 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Monica Perkins
Title
Onboarding Specialist
Phone
(770) 692-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary
Dental Clinic/Center 261QD0000X NU

Addresses

Primary practice location

14058 Bee Cave Pkwy Ste B
Austin, TX 78738-7144

Mailing address

505 E Huntland Dr
Austin, TX 78752-3717
Phone (512) 276-4444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1790370542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E HUNTLAND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523717",
            "telephone_number": "512-276-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14058 BEE CAVE PKWY STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387144",
            "telephone_number": "512-402-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D4C OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "ONBOARDING SPECIALIST",
        "authorized_official_telephone_number": "770-692-1000"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 3, 2021; 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.