NPIMap

Organization Active NPI

Alexandra Aponte Coulbourn DDS, PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1043746530
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31185 Issued in TX
Legal business name
ALEXANDRA APONTE COULBOURN DDS, PLLC
Practice address
10501 Marfa Dr
#280
Austin, TX 78748-3073
Phone
(210) 473-4130
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Dr. Alexandra Aponte
Title
President
Phone
(210) 473-4130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31185 TX Primary

Addresses

Primary practice location

10501 Marfa Dr
#280
Austin, TX 78748-3073

Mailing address

10501 Marfa Dr
#280
Austin, TX 78748-3073
Phone (210) 473-4130

Other identifiers 1

IdentifierTypeStateIssuer
349154001MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1043746530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 MARFA DR",
            "address_2": "#280",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483073",
            "telephone_number": "210-473-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 MARFA DR",
            "address_2": "#280",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483073",
            "telephone_number": "210-473-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA APONTE COULBOURN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "APONTE",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-473-4130",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349154001",
            "state": "TX"
        }
    ],
    "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 May 3, 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.