Enable Dental of New York PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENABLE DENTAL OF NEW YORK PLLC

Practice address

5555 N Lamar Blvd Ste H125
Austin, TX 78751-1096

Phone

(866) 988-4504

Fax

(866) 815-3719

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Amy Christy-Duncan

Title

Director of Revenue

Phone

(737) 787-2049

Specialties & licenses 1

Addresses

Other names 1

• ENABLE DENTAL INC. Doing business as

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1992562268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD STE H125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511096",
            "telephone_number": "866-988-4504",
            "fax_number": "866-815-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD STE H125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511096",
            "telephone_number": "866-988-4504",
            "fax_number": "866-815-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLE DENTAL OF NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "CHRISTY-DUNCAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "737-787-2049"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENABLE DENTAL INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Louise Emptage, FNP
• Annette Annette Enababor
• Enable Dental of Arizona
• Enable Dental of Illinois PLLC
• Enable Dental of New Mexico LLC
• Enable Dental of South Carolina, LLC
• Enable Dental of Virginia PLLC
• Enabled Living, LLC
• Enamel Dentistry at the Grove , PLLC
• Enamel Dentistry Domain PLLC

• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.