Patrick Tay, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25579 Issued in TX

Practice address

3421 N. Lakeline Blvd
Suite 230
Austin, TX 78641

Phone

(512) 212-9711

NPI assigned

Jul 22, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1982917621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 AUGUSTA BEND DR",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 N. LAKELINE BLVD",
            "address_2": "SUITE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78641",
            "telephone_number": "512-212-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAY",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Anne Tauzin, N.D.
• Kye Yvette Tavernier, LMSW, LCDC
• Lauren Nicole Tavey, M.ED., BCBA
• Paddy Tawada, LAC
• Tawl Health Care- Austin, LLC
• Joseph Tayar, M.D.
• Taylor Team Care
• Kirtrisse Taylor-Brewer
• Emily D. Taylor-Ginger, LMSW, LCSW
• Sarah Taylor-Ramirez, CCC-SLP

• General Practice Dentistry in Austin, TX
• Providers in Austin, 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 Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.