Enamel Dentistry Domain PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENAMEL DENTISTRY DOMAIN PLLC

Practice address

11005 Burnet Rd Ste 100
Austin, TX 78758-4440

Phone

(512) 646-0815

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Hardik Chodavadia, DDS

Title

Partner

Phone

(817) 988-6484

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

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

• Amanda Stephanie Akkari, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1922625813
  NPD (past)
• Alok Shiva, DMD

  • General Practice Dentistry
  • Austin, TX
  • NPI 1154999027
  NPD (past)

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1891305173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 BURNET RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 BURNET RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584440",
            "telephone_number": "512-646-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENAMEL DENTISTRY DOMAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "CHODAVADIA",
        "authorized_official_first_name": "HARDIK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "817-988-6484",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.enameldentsitry.com",
            "affiliation": "N",
            "address_1": "11005 Burnet Rd Ste 100",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787584440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Enamel Dentistry South Lamar PLLC
• Enamel Sleep, PLLC

• 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 Feb 9, 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.