Organization Active NPI

Juli Powell DDS and Ada Tiller DDS PC

  • Dentist
  • Austin, TX
National Provider Identifier
1124533625
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JULI POWELL DDS AND ADA TILLER DDS PC
Practice address
13915 N Mopac Expy Ste 110
Austin, TX 78728-6506
Phone
(512) 218-1130
Fax
(512) 218-4423
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Mrs. Lorrie Zabbatino
Title
Practice Manager
Phone
(512) 218-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

13915 N Mopac Expy Ste 110
Austin, TX 78728-6506

Mailing address

13915 N Mopac Expy Ste 110
Austin, TX 78728-6506
Phone (512) 218-1130

Other names 1

  • Powell & Tiller Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

13915 Burnet Rd
Ste 110
Austin, TX 78728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1124533625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13915 N MOPAC EXPY STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286506",
            "telephone_number": "512-218-1130",
            "fax_number": "512-218-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13915 N MOPAC EXPY STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286506",
            "telephone_number": "512-218-1130",
            "fax_number": "512-218-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULI POWELL DDS AND ADA TILLER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "ZABBATINO",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "512-218-1130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powell & Tiller Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Powell & Tiller Dental Care",
            "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 Feb 21, 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.