Active NPI
Eva Renwick, D.D.S.
- Dentist
- Round Rock, TX
National Provider Identifier
1952656548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19702
- Practice address
- 2051 Gattis School Rd
Suite # 150
Round Rock, TX 78664-7441 - Phone
- (512) 218-0172
- NPI assigned
- Jul 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19702 | TX | Primary |
Addresses
Primary practice location
2051 Gattis School Rd
Suite # 150
Round Rock, TX 78664-7441
Mailing address
2051 Gattis School Rd
Suite # 150
Round Rock, TX 78664-7441
Phone (512) 218-0172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19702 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renwick Family Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Round Rock, TX
- NPI 1851412498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1952656548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 GATTIS SCHOOL RD",
"address_2": "SUITE # 150",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647441",
"telephone_number": "512-218-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 GATTIS SCHOOL RD",
"address_2": "SUITE # 150",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647441",
"telephone_number": "512-218-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENWICK",
"first_name": "EVA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "19702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.