ELIZABETH ANN LONG (NPI# 1720205107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720205107 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN LONG |
| Credential | D.D.S. |
| Practice Address |
3421 W William Cannon Dr Suite 143 Austin TX 78745-5000 |
| Practice Telephone | 5128925511 |
| Practice Fax Number | 5128922061 |
| Mailing Telephone | 5128925511 |
| Mailing Fax Number | 5128922061 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12129 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821501123 | Elizabeth Kay Long | Nurse Practitioner | 27258 Monique Ridge Ln, Spring, TX 77386-4044 | 2017-11-08 |
| 1134653637 | Elizabeth Long | Speech-Language Pathologist | 307 Upton St, Winston Salem, NC 27103-1735 | 2017-04-12 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1336409770 | Elizabeth Perry Long | Lactation Consultant, Non-RN | 4004 Keble Dr, Charlotte, NC 28269-1405 | 2012-05-19 |
| 1467764134 | Elizabeth Noami Long | Counselor | 1003 E Main St Ste 104, Medford, OR 97504 | 2010-07-09 |
| 1346496270 | Elizabeth Long | Specialist | 342 Mulberry Ct, B1, Bartlett, IL 60103-7961 | 2008-08-12 |
| 1750353082 | Elizabeth Mckinley Long | Nurse Practitioner | Troy University, Hamil Hall Student Health Center, Troy, AL 36082-0001 | 2006-02-02 |
| 1225636236 | Elizabeth C Long | Counselor | 100 Arapahoe Ave Ste 9, Boulder, CO 80302-5854 | 2020-10-12 |
| 1427669191 | Elizabeth Long | Pharmacist | 4995 E Us Route 36, Decatur, IL 62521-9701 | 2020-08-14 |
| 1093350670 | Elizabeth Mary Long | Registered Nurse | 3400 Spruce St, Rhoads 5, Philadelphia, PA 19104 | 2019-11-07 |
| Street Address |
3421 W WILLIAM CANNON DR SUITE 143 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275517955 | Aaron J White | Dentist | 3421 W William Cannon Dr, Ste 143, Austin, TX 78745-5000 | 2005-12-06 |
| 1912271933 | Optimal Wc Inc | Chiropractor | 3421 W William Cannon Dr, Ste 145, Austin, TX 78745-5000 | 2012-03-08 |
| 1770709495 | Dennis P Goehring | Dentist | 3421 W William Cannon Dr, Suite 141, Austin, TX 78745-5000 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999884 | Catalina Zambrano Martinez | Dentist | 505 W Louis Henna Blvd Ste 110, Austin, TX 78728-1702 | 2019-05-29 |
| 1588120216 | Candid Texas P.a. | Dentist | 500 N Lamar Blvd, Austin, TX 78703-5264 | 2019-02-19 |
| 1396211082 | Mathue Ortho Pllc | Dentist | 6012 W William Cannon Dr Ste D103, Austin, TX 78749-1979 | 2018-10-19 |
| 1477049690 | Parmer Lane Orthodontics PC | Dentist | 2121 W Parmer Ln Ste 111, Austin, TX 78727-4360 | 2018-07-11 |
| 1891289179 | Corey Steven Romero | Dentist | 8716 Research Blvd Ste 125, Austin, TX 78758-6598 | 2018-06-19 |
| 1114426640 | Jaladhi Patel | Dentist | 7517 Cameron Rd Ste 106, Austin, TX 78752-2055 | 2018-02-11 |
| 1851815997 | Vincent Vivinetto Napoli | Dentist | 2525 W Anderson Ln # 399, Austin, TX 78757-1180 | 2017-07-31 |
| 1104364710 | Lspd At Circle C, Pllc | Dentist | 5900 W Slaughter Ln Ste 470, Austin, TX 78749-6513 | 2017-02-02 |
| 1316493844 | Laguna Dental and Orthodontics, Pllc | Dentist | 214 Barton Springs Rd, #1417, Austin, TX 78704-1281 | 2016-08-25 |
| 1215481346 | Brian St. Louis | Dentist | 3413 W Slaughter Ln, Austin, TX 78748-5711 | 2016-08-05 |
| 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.