Organization Active NPI

Austin Family Dentistry PPLC

  • Dentist
  • Austin, TX
National Provider Identifier
1821315227
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AUSTIN FAMILY DENTISTRY PPLC
Practice address
4631 Airport Blvd
120A
Austin, TX 78751-3453
Phone
(818) 620-1411
Fax
(512) 402-9986
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Dr. Reza Arzegar, DDS
Title
Owner/Provider
Phone
(818) 620-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4631 Airport Blvd
120A
Austin, TX 78751-3453

Mailing address

4631 Airport Blvd
120A
Austin, TX 78751-3453
Phone (818) 620-1411

National Provider Directory

National Provider Directory

Locations

4631 Airport Blvd
#120A
Austin, TX 78751
Phone (818) 620-1411

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1821315227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 AIRPORT BLVD",
            "address_2": "120A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513453",
            "telephone_number": "818-620-1411",
            "fax_number": "512-402-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 AIRPORT BLVD",
            "address_2": "120A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513453",
            "telephone_number": "818-620-1411",
            "fax_number": "512-402-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN FAMILY DENTISTRY PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "ARZEGAR",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "818-620-1411",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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 Apr 23, 2010; 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.