NPIMap

Organization Active NPI

Quinlan Park Dental

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1851667729
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23056 Issued in TX
Legal business name
QUINLAN PARK DENTAL
Practice address
5145 N. FM 620 Suite G-150
Austin, TX 78732
Phone
(512) 619-3514
NPI assigned
Mar 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Sumita Chakraborti
Title
Owner
Phone
(512) 619-3514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23056 TX Primary

Addresses

Primary practice location

5145 N. FM 620 Suite G-150
Austin, TX 78732

Mailing address

5145 N. FM 620 Suite G-150
Austin, TX 78732

National Provider Directory

National Provider Directory

Locations

5145 FM 620 N
Ste G-150
Austin, TX 78732
Phone (512) 619-3514

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": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1851667729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 N. FM 620 SUITE G-150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 N. FM 620 SUITE G-150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78732",
            "telephone_number": "512-619-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINLAN PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "CHAKRABORTI",
        "authorized_official_first_name": "SUMITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-619-3514"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23056",
            "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 Mar 26, 2012; 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.