South Austin Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SOUTH AUSTIN ORAL SURGERY

Practice address

706B W Ben White Blvd # 194
Austin, TX 78704-7153

Phone

(512) 692-7140

NPI assigned

Oct 28, 2022

Last updated

Oct 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nitin Uddaraju RajuNPI 1073771838

Title

Oral Surgeon

Phone

(512) 692-7140

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nitin Uddaraju Raju, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
  • NPI 1073771838
  NPD Authorized official

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1043927197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706B W BEN WHITE BLVD # 194",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047153",
            "telephone_number": "512-692-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706B W BEN WHITE BLVD # 194",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047153",
            "telephone_number": "512-692-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH AUSTIN ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "NITIN",
        "authorized_official_middle_name": "UDDARAJU",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "512-692-7140"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Austin Healthcare Company (Rite-Away Pharmacy #4)
• South Austin Healthcare Company (Rite-Away Pharmacy & Medical Supply #3)
• South Austin Medical Clinic PA
• South Austin Microendodontics
• South Austin OB-GYN
• South Austin Orthopaedic Clinic PA
• South Austin Pharmacy LLC (South Austin Pharmacy)
• South Austin Rehabilitation & Wound Clinic Inc
• South Austin Senior Care LLC (HALO Senior Care LLC)
• South Austin Speech & Language, PLLC

• Oral and Maxillofacial Surgery (Dentist) in Austin, TX
• Providers in Austin, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.