FBL ATX LLC (NPI# 1780186825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780186825 |
| Entity Type | Organization |
| Organization Name | FBL ATX LLC |
| Other Organization Name | FLOSS |
| Practice Address |
9901 Brodie Ln Ste 130 Austin TX 78748-5889 |
| Practice Telephone | 5122824271 |
| Mailing Telephone | 5122824271 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | AMANDA MARANDA (OPERATIONS MANAGER) |
| Authorized Official Telephone | 5122217419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Floss | Doing Business As Name - Organization |
| Street Address |
9901 BRODIE LN STE 130 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78748-5889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659512754 | Smiles By Design | Dentist | 9901 Brodie Ln Ste 130, Austin, TX 78748-5889 | 2009-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073090395 | Dejuan Lewis | Specialist/Technologist | 11301 Farrah Lane, Apt 837, Austin, TX 78748 | 2018-07-20 |
| 1588153340 | Zoe Finch Cameron | Registered Nurse | 906 Kavanagh Dr, Austin, TX 78748 | 2018-05-08 |
| 1194231753 | Embark Home Care | In Home Supportive Care | 2316 Christoff Loop, Austin, TX 78748 | 2017-12-19 |
| 1952815854 | Swish Dental Brodie PC | Clinic/Center | 8916 Brodie Ln, Suite 400, Austin, TX 78748 | 2017-11-30 |
| 1700332921 | National Vision, Inc. | Technician/Technologist | 9500 I-35, Suite J-100, Austin, TX 78748 | 2016-08-28 |
| 1770036212 | Van-anh Huynh | Optometrist | 9500 Interstate 35, Suite J-100, Austin, TX 78748 | 2016-08-02 |
| 1275907263 | Paul Abram Shrogin | Chiropractor | 9701 Brodie Ln Ste 202, Austin, TX 78748 | 2015-11-14 |
| 1790161743 | Matthew Graham Margrett | Pharmacist | 9500 S Ih 35 Frontage Rd, Austin, TX 78748 | 2015-07-31 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| 1710362983 | 512 Eye, Pllc | Optometrist | 11200 Manchaca Road, Building 4 Suite 2, Austin, TX 78748 | 2015-07-29 |
| Find all providers in zip 78748 | ||||
| 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 | ||||
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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.