Active NPI
Austin Family Dental LTD
- General Practice Dentistry
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D09811
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louis Thomas Austin, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1427171552
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.