CK Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

25202 Issued in TX

Legal business name

CK DENTAL GROUP

Doing business as

Vista Ridge Family Dentistry

Practice address

920 N Vista Ridge Blvd # 700
Cedar Park, TX 78613-7637

Phone

(512) 402-7811

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Max Kerr, DDS

Title

Co-Owner

Phone

(512) 402-7811

Specialties & licenses 1

Addresses

Other names 1

• Vista Ridge Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Cole Hedgecock, D.D.S.

  • Dentist
  • Austin, TX
  • NPI 1043416753
  NPD (past)

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1801293469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N VISTA RIDGE BLVD # 700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137637",
            "telephone_number": "512-402-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N VISTA RIDGE BLVD # 700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137637",
            "telephone_number": "512-402-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "512-402-7811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Ridge Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Satish Chundru, DO
• Jessica Marie Cicone, DDS
• Gloria Circosta, RN, IBCLC
• City of Cedar Park (Cedar Park Fire Department)
• City of Cedar Park Fire Department
• Clarity Brain and Spine, PA
• Ashley Clark, DPT
• Melissa Lynne Clarke, OTR, MOT
• Brooke Erin Cleven, OTR/L
• Anna Click, LCSW

• Dentist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.