Organization Active NPI

Austin HJ Dental PC

  • Dentist
  • Austin, TX
National Provider Identifier
1023360773
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27677 Issued in TX
Legal business name
AUSTIN HJ DENTAL PC
Practice address
13048 Research Blvd
Suite B
Austin, TX 78750-3205
Phone
(512) 257-2828
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Sandy H Kim, DDS
Title
Owner
Phone
(512) 257-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 27677 TX Primary

Addresses

Primary practice location

13048 Research Blvd
Suite B
Austin, TX 78750-3205

Mailing address

13048 Research Blvd
Suite B
Austin, TX 78750-3205
Phone (512) 257-2828

Other names 1

  • Texas Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

13048 Research Blvd
Ste B
Austin, TX 78750
Phone (512) 257-2828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1023360773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13048 RESEARCH BLVD",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503205",
            "telephone_number": "512-257-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13048 RESEARCH BLVD",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503205",
            "telephone_number": "512-257-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN HJ DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-257-2828",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Dentistry",
            "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 Oct 4, 2012; 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.