Autrine Loghmanian, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34102 Issued in TX

Practice address

4410 E Riverside Dr Ste 150
Austin, TX 78741

Phone

(512) 669-5049

NPI assigned

Jun 12, 2018

Last updated

Jul 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1154814317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CHIHUAHUA TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452352",
            "telephone_number": "703-507-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 E RIVERSIDE DR STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78741",
            "telephone_number": "512-669-5049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2739 S Hulen St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761099535",
            "country_code": "US",
            "telephone_number": "817-756-5105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E W Hwy 377",
            "address_2": "Suite #100",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "76048",
            "country_code": "US",
            "telephone_number": "817-579-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E W Hwy 377",
            "address_2": "Suite #100",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "76048",
            "country_code": "US",
            "telephone_number": "817-579-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 S Interstate 35 Ste E400",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787481990",
            "country_code": "US",
            "telephone_number": "512-669-5305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGHMANIAN",
        "first_name": "AUTRINE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 13, 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.