NPIMap

Organization Active NPI

Omni Dental Group

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1942376884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16471 Issued in TX
Legal business name
OMNI DENTAL GROUP
Practice address
11130 Jollyville Rd
Suite 1500
Austin, TX 78759-5593
Phone
(512) 346-8424
Fax
(512) 346-3848
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Helen Carley-Holmes
Title
Operations Manager
Phone
(512) 250-5012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 16471 TX Primary

Addresses

Primary practice location

11130 Jollyville Rd
Suite 1500
Austin, TX 78759-5593

Mailing address

11130 Jollyville Rd
Suite 1500
Austin, TX 78759-5593
Phone (512) 346-8424

National Provider Directory

National Provider Directory
Tax ID family
Omni Dental Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11130 Jollyville Rd
Ste 1500
Austin, TX 78759
Phone (512) 346-8424

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942376884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 JOLLYVILLE RD",
            "address_2": "SUITE 1500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595593",
            "telephone_number": "512-346-8424",
            "fax_number": "512-346-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 JOLLYVILLE RD",
            "address_2": "SUITE 1500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595593",
            "telephone_number": "512-346-8424",
            "fax_number": "512-346-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLEY-HOLMES",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "512-250-5012"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16471",
            "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 Aug 22, 2020; 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.