Jeffrey M. Novak, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20921 Issued in TX

Practice address

711 W 38TH St. Suite E-4
AIDS Services of Austin
Austin, TX 78705

Phone

(512) 479-6633

Fax

(512) 479-6617

NPI assigned

Oct 19, 2006

Last updated

Sep 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• AIDS Services of Austin Inc

  dba Jack Sansing Dental Clinic

  • Dental Clinic/Center
  • Austin, TX
  • NPI 1760500078
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1063594463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST. SUITE E-4",
            "address_2": "AIDS SERVICES OF AUSTIN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-479-6633",
            "fax_number": "512-479-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST. SUITE E-4",
            "address_2": "AIDS SERVICES OF AUSTIN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-479-6633",
            "fax_number": "512-479-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "JEFFREY",
        "middle_name": "M.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161812601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nourish. an Integrative Medical Practice, PLLC
• Nourished Roots LLC (The Nurturing Willow)
• Nova Health Systems Inc (Reproductive Services of Austin Texas)
• Nova Strand Diagnostics
• Novabridge Medical LLC
• Marcia G Novak, CRNA
• Michaela Thompson Novak, OD
• Noverixy LLC
• Tessa Kimberly Novick, M.D., M.S.W
• Lori Novicki

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.