NPIMap

Organization Active NPI

Renken Dentistry of Texas, PLLC

  • Dental Clinic/Center
  • Georgetown, TX
National Provider Identifier
1992479026
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RENKEN DENTISTRY OF TEXAS, PLLC
Doing business as
Renken Dentistry of Texas, PLLC
Practice address
6779 W State Highway 29
Georgetown, TX 78628-6977
Phone
(217) 718-3072
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Alicia Jones
Title
HR Director
Phone
(217) 718-3072

Specialties & licenses 1

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

Addresses

Primary practice location

6779 W State Highway 29
Georgetown, TX 78628-6977

Mailing address

2809 Mansion Rd Ste B
Springfield, IL 62711-6811
Phone (217) 381-6405

Other practice location 1

7826 W US Hwy 290
Suite 102
Austin, TX 78736
Phone (217) 718-3072

Other names 1

  • Renken Dentistry of Texas, PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Renken Dentistry of Texas PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7826 W US Highway 290
Unit 102
Austin, TX 78736
Phone (217) 718-3072

6779 W State Highway 29
Georgetown, TX 78628
Phone (217) 718-3072

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1992479026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 MANSION RD STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116811",
            "telephone_number": "217-381-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6779 W STATE HIGHWAY 29",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286977",
            "telephone_number": "217-718-3072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7826 W US Hwy 290",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78736",
            "country_code": "US",
            "telephone_number": "217-718-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENKEN DENTISTRY OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "217-718-3072"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renken Dentistry of Texas, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renken Dentistry of Texas, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.