Organization Active NPI

Signature Smiles, P.a.,

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1033309091
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22132 Issued in TX
Legal business name
SIGNATURE SMILES, P.A.,
Practice address
5320 Burnet Road
Ste#108
Austin, TX 78756
Phone
(512) 832-6225
Fax
(512) 832-8454
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Ronald John Caldwell Jr., DDS
Title
Owner
Phone
(512) 832-6225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22132 TX Primary

Addresses

Primary practice location

5320 Burnet Road
Ste#108
Austin, TX 78756

Mailing address

5320 Burnet Road
Ste#108
Austin, TX 78756
Phone (512) 832-6225

National Provider Directory

National Provider Directory

Locations

5320 Burnet Rd
Ste 108
Austin, TX 78756
Phone (512) 832-6225

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1033309091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 BURNET ROAD",
            "address_2": "STE#108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78756",
            "telephone_number": "512-832-6225",
            "fax_number": "512-832-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 BURNET ROAD",
            "address_2": "STE#108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78756",
            "telephone_number": "512-832-6225",
            "fax_number": "512-832-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES, P.A.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-832-6225",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 26, 2007; 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.