Organization Active NPI

Floss 5TH Austin PLLC

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1992210132
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FLOSS 5TH AUSTIN PLLC
Practice address
1011 W 5TH St Ste 120
Austin, TX 78703-5363
Phone
(512) 617-0101
Fax
(512) 505-8151
NPI assigned
Dec 11, 2017
Organization subpart
Yes
Parent organization
FLOSS 5TH AUSTIN PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Amanda Maranda
Title
Operations Manager
Phone
(512) 221-7419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1011 W 5TH St Ste 120
Austin, TX 78703-5363

Mailing address

1011 W 5TH St Ste 120
Austin, TX 78703-5363
Phone (512) 617-0101

National Provider Directory

National Provider Directory
Part of
Floss 5TH Austin PLLC

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1992210132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W 5TH ST STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787035363",
            "telephone_number": "512-617-0101",
            "fax_number": "512-505-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W 5TH ST STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787035363",
            "telephone_number": "512-617-0101",
            "fax_number": "512-505-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOSS 5TH AUSTIN PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLOSS 5TH AUSTIN PLLC",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "MARANDA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "512-221-7419"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Dec 11, 2017; 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.