Organization Active NPI

Adam Kristoff, D.D.S., P.C.

Doing business as Cool Creek Family Dental

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1114208634
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20544 Issued in TX
Legal business name
ADAM KRISTOFF, D.D.S., P.C.
Doing business as
Cool Creek Family Dental
Practice address
6414 River Place Blvd
Suite 101
Austin, TX 78730-1112
Phone
(512) 501-6022
Fax
(512) 284-8871
NPI assigned
Aug 30, 2011
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Mr. Adam Kristoff, DDS
Title
Owner
Phone
(512) 501-6022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20544 TX Primary

Addresses

Primary practice location

6414 River Place Blvd
Suite 101
Austin, TX 78730-1112

Mailing address

6414 River Place Blvd
Suite 101
Austin, TX 78730-1112
Phone (512) 501-6022

Other names 1

  • Cool Creek Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6414 River Place Blvd
Ste 101
Austin, TX 78730
Phone (512) 501-6022

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1114208634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 RIVER PLACE BLVD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301112",
            "telephone_number": "512-501-6022",
            "fax_number": "512-284-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 RIVER PLACE BLVD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301112",
            "telephone_number": "512-501-6022",
            "fax_number": "512-284-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM KRISTOFF, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "KRISTOFF",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-501-6022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cool Creek Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 30, 2011; 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.