Individual provider Active NPI

Joshua Aubrey Austin, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1053526905
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22815 Issued in TX
Practice address
2703 N Loop 1604 W Ste 103
San Antonio, TX 78258-4995
Phone
(210) 408-7999
Fax
(210) 592-8598
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22815 TX Primary

Addresses

Primary practice location

2703 N Loop 1604 W Ste 103
San Antonio, TX 78258-4995

Mailing address

2703 N Loop 1604 W Ste 103
San Antonio, TX 78258-4995
Phone (210) 408-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413002311 TX Order and Referring Only - DentistPractitioner - Dentist 8325346059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22815TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Austin, DDS PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1053526905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N LOOP 1604 W STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584995",
            "telephone_number": "210-408-7999",
            "fax_number": "210-592-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N LOOP 1604 W STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584995",
            "telephone_number": "210-408-7999",
            "fax_number": "210-592-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JOSHUA",
        "middle_name": "AUBREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.