Organization Active NPI

Austin Family Dental LTD

  • General Practice Dentistry
  • Saint Paul, MN
National Provider Identifier
1104916527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D09811 Issued in MN
Legal business name
AUSTIN FAMILY DENTAL LTD
Practice address
1360 Energy Park Dr
#104
St Paul, MN 55108-5252
Phone
(651) 641-1908
Fax
(651) 641-1907
NPI assigned
Oct 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Louis Thomas Austin, DDSNPI 1427171552
Title
President Dentist
Phone
(651) 641-1908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D09811 MN Primary

Addresses

Primary practice location

1360 Energy Park Dr
#104
St Paul, MN 55108-5252

Mailing address

1360 Energy Park Dr
#104
St Paul, MN 55108-5252
Phone (651) 641-1908

National Provider Directory

National Provider Directory

Locations

1360 Energy Park Dr
#104
Saint Paul, MN 55108
Phone (651) 641-1908

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104916527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 ENERGY PARK DR",
            "address_2": "#104",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551085252",
            "telephone_number": "651-641-1908",
            "fax_number": "651-641-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 ENERGY PARK DR",
            "address_2": "#104",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551085252",
            "telephone_number": "651-641-1908",
            "fax_number": "651-641-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN FAMILY DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "651-641-1908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D09811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.