Family Tree Dental Group Two PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FAMILY TREE DENTAL GROUP TWO PLLC

Doing business as

Family Tree Dental Group

Practice address

1008 Mopac Circle
Unite 101
Austin, TX 78746

Phone

(513) 458-5999

Fax

(512) 428-4013

NPI assigned

Mar 17, 2015

Organization subpart

No

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

Authorized official

Name

Chadwick Denman, DDS

Title

Owner/ Dentist

Phone

(513) 458-5999

Specialties & licenses 1

Addresses

Other names 1

• Family Tree Dental Group Doing business as

Locations

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1811380710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MOPAC CIRCLE",
            "address_2": "UNITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "513-458-5999",
            "fax_number": "512-428-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MOPAC CIRCLE",
            "address_2": "UNITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "513-458-5999",
            "fax_number": "512-428-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE DENTAL GROUP TWO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "DENMAN",
        "authorized_official_first_name": "CHADWICK",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "513-458-5999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Tree Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Medicine Center of Austin, P.a.
• Family Medicine Clinic
• Family Primary Home Care Services, Inc.
• Family Traditions Care LLC
• Family Tree Dental Group
• Familyworks Healthcare Services LLC
• Jack Fan, DDS
• Jing Fan, SLP
• Yong Xin Fan, L.AC, M.D. (CHINA)
• Edamisan Joseph Fanegan, MD

• 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 Mar 17, 2015; 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.