ACCESS DENTAL OF RUNDBERG (NPI# 1265603856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265603856 |
| Entity Type | Organization |
| Organization Name | ACCESS DENTAL OF RUNDBERG |
| Practice Address |
825 E Rundberg Ln Suite A-1 Austin TX 78753-4808 |
| Mailing Address |
1301 E Debbie Ln Suite 102-216 Mansfield TX 76063-3305 |
| Practice Telephone | 5128370200 |
| Mailing Telephone | 5128370200 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | TIEN DINH PHAN (OWNER) |
| Authorized Official Telephone | 5128370200 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
825 E RUNDBERG LN SUITE A-1 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528013281 | David Vander Straten | Family Medicine | 825 E Rundberg Ln, #f, Austin, TX 78753-4808 | 2006-05-23 |
| 1801429956 | Erin Byars | Registered Nurse | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2020-02-18 |
| 1013478320 | John Robert Benson | Nurse Practitioner | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2019-03-28 |
| 1508323288 | Elizabeth Ann Banks | Counselor | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2019-02-28 |
| 1457776064 | Bukola Sukurat Azeez | Nurse Practitioner | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2014-02-19 |
| 1437437282 | Aleeahna Phan | Dentist | 825 E Rundberg Ln, Suite A1, Austin, TX 78753-4808 | 2011-07-27 |
| 1104133610 | Sharmin Hasnat Khan | Dentist | 825 E Rundberg Ln, Suite A-1, Austin, TX 78753-4808 | 2010-09-03 |
| 1962731505 | Access Orthodontics of Rundberg Pa | Dentist | 825 E Rundberg Ln, Suite A-1, Austin, TX 78753-4808 | 2009-12-10 |
| 1275861924 | Yu Yu Khin | Internal Medicine | 825 E Rundberg Ln, Suite B1, Austin, TX 78753-4808 | 2009-11-18 |
| 1679704076 | Manjusha Tummala | Dentist | 825 E Rundberg Ln, A1, Austin, TX 78753-4808 | 2009-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1356956882 | Pediatric Dental Professionals, Pllc | Dentist | 9015 Mountain Ridge Dr Ste 320, Austin, TX 78759-8488 | 2020-09-11 |
| 1043823727 | Dimple Sharma Pllc | Dentist | 8700 Menchaca Rd Ste 102, Austin, TX 78748-5372 | 2020-08-24 |
| 1295343036 | Nair & Pillai Serenity Dental, Pllc | Dentist | 8731 W Highway 71 Ste 102, Austin, TX 78735-8410 | 2020-07-17 |
| 1972130672 | Meredith Rae Mosier | Dentist | 421 W 3rd St Apt 811, Austin, TX 78701-4166 | 2020-03-24 |
| 1144863861 | Michelle Hedgecock Dds Pllc | Dentist | 1008 Mo Pac Circle Ste 100, Austin, TX 78746-6808 | 2019-10-25 |
| 1275174799 | Debora L Ayres | Dentist | 3900 Ranch Road 620 S Ste 106, Austin, TX 78738-6311 | 2019-10-06 |
| 1922649730 | Sarah Workman | Dentist | 11615 Angus Rd Ste 110, Austin, TX 78759-4006 | 2019-10-02 |
| 1568013761 | River Place Dental | Dentist | 7011 Ribelin Ranch Rd Ste 100, Austin, TX 78750-8585 | 2019-09-28 |
| 1508411372 | Abram Ortega | Dentist | 3909 N Ih 35 Ste A1, Austin, TX 78722-1529 | 2019-08-07 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.