Organization Active NPI

Wellness Dental,P.C.

  • Dentist
  • Austin, TX
National Provider Identifier
1053656686
Registry record updated Dec 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24200 Issued in TX
Legal business name
WELLNESS DENTAL,P.C.
Practice address
9828 Great Hills TRL
#305
Austin, TX 78759-6391
Phone
(521) 535-5257
NPI assigned
Dec 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2012

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

Authorized official

Name
Dr. Francisca Gbie Giple-Johnson, DDS
Title
Dentist/Owner
Phone
(512) 535-5257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 24200 TX Primary

Addresses

Primary practice location

9828 Great Hills TRL
#305
Austin, TX 78759-6391

Mailing address

9828 Great Hills TRL
#305
Austin, TX 78759-6391
Phone (521) 535-5257

Other identifiers 1

IdentifierTypeStateIssuer
191265102MedicaidTX

National Provider Directory

National Provider Directory

Locations

9828 Great Hills Trl
Ste 305
Austin, TX 78759
Phone (521) 535-5257

NPI Registry JSON

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

{
    "created_epoch": "1354924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354924800000",
    "number": "1053656686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 GREAT HILLS TRL",
            "address_2": "#305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596391",
            "telephone_number": "521-535-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 GREAT HILLS TRL",
            "address_2": "#305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596391",
            "telephone_number": "521-535-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DENTAL,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-08",
        "last_updated": "2012-12-08",
        "status": "A",
        "authorized_official_last_name": "GIPLE-JOHNSON",
        "authorized_official_first_name": "FRANCISCA",
        "authorized_official_middle_name": "GBIE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "512-535-5257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191265102",
            "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 Dec 8, 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.