T. H. Windermere Dental Care PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

T. H. WINDERMERE DENTAL CARE PLLC

Doing business as

04 Dental

Practice address

3115 S Lamar Blvd
Austin, TX 78704-5803

Phone

(512) 640-4090

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Meredith Rae Mosier, DDSNPI 1972130672

Title

Owner

Phone

(281) 974-0833

Specialties & licenses 1

Addresses

Other names 1

• 04 Dental Doing business as

Electronic endpoints 1

Tax ID family

04 Dental2 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.

• T H Windermere Dental Care

  • General Practice Dentistry
  • Austin, TX
  • NPI 1982293023
  NPD tax ID

Practitioners 1

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

• Meredith Rae Mosier, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1972130672
  NPD Authorized official

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1851981971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 S LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045803",
            "telephone_number": "512-640-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045803",
            "telephone_number": "512-640-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. H. WINDERMERE DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-974-0833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@04dental.com",
            "affiliation": "N",
            "address_1": "3115 S LaMar Blvd",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787045803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "04 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Rita Szymanski, PHARMD
• Natalie Szymanski
• Denise Lynette Szymczak, MA, CCC/SLP
• T & S Omfs PLLC
• T H Windermere Dental Care
• T2L Investments, LTD
• Ta Performance LLC
• Anvi C Ta, FNP
• Jorge L. Tabares Jr., MACOM
• Mark Dariush Tabarrok, MD

• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.