North Austin Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21411 Issued in TX

Legal business name

NORTH AUSTIN DENTAL GROUP PLLC

Practice address

1114A Ih 35 N
Round Rock, TX 78681-4219

Phone

(512) 468-3136

NPI assigned

Feb 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Andre Yassa

Title

Owner

Phone

(832) 385-0379

Specialties & licenses 1

Addresses

Other names 1

• Sonrisa Family Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Lyna Vuu, DDS

  • Dentist
  • Temple, TX
  • NPI 1740544881
  Medicare reassignment NPD

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1972961654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114A IH 35 N",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114A IH 35 N",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814219",
            "telephone_number": "512-468-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AUSTIN DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "YASSA",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-385-0379",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonrisa Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirkland C Nolan, MD
• Rachel Nolting
• Christopher B Noonan
• Colin Matthew Nordstrom, MPT
• Shanderia Norman
• North Austin Music Therapy
• North Austin Periodontics PA
• North Star Family Medicine P.a.
• Paul Austin Northcutt
• Northern Nevada Lithotripsy

• General Practice Dentistry in Round Rock, TX
• Providers in Round Rock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.