ELITE DENTAL SPA PLLC DBA HORIZON DENTAL (NPI# 1740603414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740603414 |
| Entity Type | Organization |
| Organization Name | ELITE DENTAL SPA PLLC DBA HORIZON DENTAL |
| Other Organization Name | HORIZON DENTAL |
| Practice Address |
11101 Burnet Rd Suite A-135 Austin TX 78758 |
| Practice Telephone | 5128370936 |
| Practice Fax Number | 5128374157 |
| Mailing Telephone | 5128370936 |
| Mailing Fax Number | 5128374157 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | DR. ZEYAD B MUGHRABI (DENTIST/PRESIDENT) |
| Authorized Official Telephone | 5128370936 |
| Authorized Official Credential | OWNER/DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
25667 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Horizon dental | Doing Business As Name - Organization |
| Street Address |
11101 BURNET RD SUITE A-135 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922416130 | Jeremy Garza | Physical Therapist | 11101 Burnet Rd, Suite A-170, Austin, TX 78758-3479 | 2014-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1407473101 | Kamel Elhosary | Clinic/Center | 1221 W Ben White Blvd Ste 212a, Austin, TX 78704-7002 | 2020-06-29 |
| 1811524861 | Regina Yunusov Dds, Pllc | Clinic/Center | 4419 Frontier Trl Ste 104, Austin, TX 78745-1567 | 2020-03-26 |
| 1407496474 | Kathryn James Ventures | Clinic/Center | 12335 Hymeadow Dr Ste 200, Austin, TX 78750-1935 | 2020-01-08 |
| 1508406513 | Valencia Smiles Pllc | Clinic/Center | 911 W Anderson Ln Ste 115, Austin, TX 78757-1562 | 2020-01-08 |
| 1720625106 | Joowon Cho Dds Pllc | Clinic/Center | 10700 Anderson Mill Rd Ste 300, Austin, TX 78750-2402 | 2019-12-05 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1063065472 | Ws Dental | Clinic/Center | 6801 S Ih 35 Ste 1-d, Austin, TX 78744-4824 | 2019-07-24 |
| 1649823253 | Rayne Sleep Solutions LLC | Clinic/Center | 1221 W Ben White Blvd Ste 112a, Austin, TX 78704-6888 | 2019-07-23 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on ELITE DENTAL SPA PLLC DBA HORIZON DENTAL.
| 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.