Cedar Park Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22107 Issued in TX

Legal business name

CEDAR PARK PEDIATRIC DENTISTRY

Practice address

2051 Cypress Creek Rd
Cedar Park, TX 78613-3623

Phone

(512) 258-8888

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Bert Vasut

Title

Owner/Provider

Phone

(512) 258-8888

Specialties & licenses 1

Addresses

Tax ID family

Bert C Vasut DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bert C. Vasut, DDS, PLLC

  • Pediatric Dentistry
  • Cedar Park, TX
  • NPI 1912081837
  NPD tax ID

Locations

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1821407040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 CYPRESS CREEK RD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133623",
            "telephone_number": "512-258-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CYPRESS CREEK RD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133623",
            "telephone_number": "512-258-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PARK PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "VASUT",
        "authorized_official_first_name": "BERT",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "512-258-8888"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "22107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Park Health Systems LP (Cedar Park Regional Medical Center Occupational Medicine Clinic)
• Cedar Park Mindfulness Counseling
• Cedar Park Modern Dentistry, PC (Cedar Park Modern Dentistry)
• Cedar Park Oncology Clinic
• Cedar Park Pediatric and Family Medicine
• Cedar Park Periodontics, PC
• Cedar Park Psychiatry PLLC
• Cedar Park Radiology L.P.
• Cedar Park Smiles, PLLC
• Cedar Park SNF LLC (The Isle at Cedar Ridge)

• Pediatric Dentistry in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.