Organization Active NPI

Leander Pediatric Dentistry

  • Pediatric Dentistry
  • Leander, TX
National Provider Identifier
1922355437
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
25126 Issued in TX
Legal business name
LEANDER PEDIATRIC DENTISTRY
Practice address
903 Old Bagdad Rd
Leander, TX 78641-1994
Phone
(617) 869-5264
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Scott FurrowNPI 1902998883
Title
President
Phone
(617) 869-5264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 25126 TX Primary

Addresses

Primary practice location

903 Old Bagdad Rd
Leander, TX 78641-1994

Mailing address

903 Old Bagdad Rd
Leander, TX 78641-1994
Phone (617) 869-5264

National Provider Directory

National Provider Directory

Locations

903 Old Bagdad Rd
Leander, TX 78641
Phone (512) 337-6499

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": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1922355437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 OLD BAGDAD RD",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411994",
            "telephone_number": "617-869-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 OLD BAGDAD RD",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411994",
            "telephone_number": "617-869-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEANDER PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "FURROW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-869-5264"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.