Active NPI
Renso Ramon Sanchez
- General Practice Dentistry
- Georgetown, TX
National Provider Identifier
1801638259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40829
- Practice address
- 1431 S Frontage Rd Ste 105
Georgetown, TX 78626-5427 - Phone
- (512) 758-8634
- NPI assigned
- Jun 7, 2024
- Last updated
- Jul 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 40829 | TX | Primary |
Addresses
Primary practice location
1431 S Frontage Rd Ste 105
Georgetown, TX 78626-5427
Mailing address
3057 Lafayette Blvd
Lincoln Park, MI 48146-3381
Phone (818) 294-5310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40829 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brush32 Dental of Georgetown PLLC | Current | Accepting new patients |
Locations
1431 S Interstate 35
Ste 105
Georgetown, TX 78626
Phone (512) 758-8634
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1801638259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3057 LAFAYETTE BLVD",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481463381",
"telephone_number": "818-294-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 S FRONTAGE RD STE 105",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265427",
"telephone_number": "512-758-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "RENSO",
"middle_name": "RAMON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-07",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "40829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.