NPIMap

Organization Active NPI

Renken Dentistry of Texas PLLC

  • General Practice Dentistry
  • Leander, TX
National Provider Identifier
1922527787
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RENKEN DENTISTRY OF TEXAS PLLC
Practice address
1825 Crystal Falls Pkwy Ste 130
Leander, TX 78641-3330
Phone
(512) 337-6830
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
Joshua Renken, DDSNPI 1467455378
Title
Authorized Official
Phone
(217) 483-7177

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1825 Crystal Falls Pkwy Ste 130
Leander, TX 78641-3330

Mailing address

1825 Crystal Falls Parkway
Suite 130
Leander, TX 78641

National Provider Directory

National Provider Directory

Locations

1825 Crystal Falls Pkwy
Ste 130
Leander, TX 78641
Phone (512) 337-6830

Practitioners & affiliated clinicians

Practitioners 7

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": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1922527787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 CRYSTAL FALLS PARKWAY",
            "address_2": "SUITE 130",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "78641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CRYSTAL FALLS PKWY STE 130",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413330",
            "telephone_number": "512-337-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENKEN DENTISTRY OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "RENKEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "217-483-7177",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 27, 2019; 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.