Organization Active NPI

Steven L. Booth, DDS, PA

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1003929514
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18052 Issued in TX
Legal business name
STEVEN L. BOOTH, DDS, PA
Doing business as
Silver Screen Dental
Practice address
11851 Jollyville Rd Ste 201
Austin, TX 78759-2350
Phone
(512) 345-8800
Fax
(512) 331-8500
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Dr. Steven Leslie Booth, DDS
Title
President
Phone
(512) 345-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18052 TX Primary

Addresses

Primary practice location

11851 Jollyville Rd Ste 201
Austin, TX 78759-2350

Mailing address

11851 Jollyville Rd Ste 201
Austin, TX 78759-2350
Phone (512) 345-8800

Other names 1

  • Silver Screen Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Silver Screen Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1003929514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592350",
            "telephone_number": "512-345-8800",
            "fax_number": "512-331-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592350",
            "telephone_number": "512-345-8800",
            "fax_number": "512-331-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN L. BOOTH, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-345-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Screen Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Screen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.