Central Texas Pediatric Dentistry, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

20081 Issued in TX

Legal business name

CENTRAL TEXAS PEDIATRIC DENTISTRY, PA

Practice address

1201 Barbara Jordan Blvd
Suite 1430
Austin, TX 78723-3083

Phone

(512) 474-7575

Fax

(512) 474-7583

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Steven J Hernandez, D.D.S.

Title

Owner

Phone

(830) 693-7044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1982927661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 GATEWAY CENTRAL",
            "address_2": "SUITE 201",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546354",
            "telephone_number": "830-693-7044",
            "fax_number": "830-693-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BARBARA JORDAN BLVD",
            "address_2": "SUITE 1430",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233083",
            "telephone_number": "512-474-7575",
            "fax_number": "512-474-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS PEDIATRIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-693-7044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.