Active NPI
Somerica Dental, PC
- General Practice Dentistry
- West Lake Hills, TX
National Provider Identifier
1841709334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30545
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Leander, TX
- NPI 1487173258
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Leander, TX
- NPI 1013035948
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.