Organization Active NPI

Somerica Dental, PC

  • General Practice Dentistry
  • West Lake Hills, TX
National Provider Identifier
1841709334
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30545 Issued in TX
Legal business name
SOMERICA DENTAL, PC
Practice address
4613 Bee Caves Rd Ste 101
West Lake Hills, TX 78746-5206
Phone
(512) 327-1222
Fax
(512) 327-1232
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Joshua Owen Daab
Title
General Manager
Phone
(512) 259-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 30545 TX Primary

Addresses

Primary practice location

4613 Bee Caves Rd Ste 101
West Lake Hills, TX 78746-5206

Mailing address

4613 Bee Caves Rd Ste 101
West Lake Hills, TX 78746-5206
Phone (512) 327-1222

Other names 1

  • Live Oak Family Dental Care - Westlake Doing business as

National Provider Directory

National Provider Directory

Locations

4613 Bee Caves Rd
Ste 101
West Lake Hills, TX 78746
Phone (512) 327-1222

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1841709334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVES RD STE 101",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465206",
            "telephone_number": "512-327-1222",
            "fax_number": "512-327-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVES RD STE 101",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465206",
            "telephone_number": "512-327-1222",
            "fax_number": "512-327-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERICA DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "DAAB",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "512-259-1250"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Family Dental Care - Westlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.