Organization Active NPI

Albert M. Tate, Jr. D.D.S.;P.a.

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1174621759
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8487 Issued in TX
Legal business name
ALBERT M. TATE, JR. D.D.S.;P.A.
Practice address
11149 Research Blvd
Suite 270
Austin, TX 78759-5279
Phone
(512) 342-7805
Fax
(512) 502-9689
NPI assigned
Sep 20, 2006
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Albert Milner Tate Jr., D.D.S.;P.A.
Title
Owner
Phone
(512) 342-7805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 8487 TX Primary

Addresses

Primary practice location

11149 Research Blvd
Suite 270
Austin, TX 78759-5279

Mailing address

11149 Research Blvd
Suite 270
Austin, TX 78759-5279
Phone (512) 342-7805

National Provider Directory

National Provider Directory

Locations

11149 Research Blvd
Ste 270
Austin, TX 78759
Phone (512) 342-7805

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1174621759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11149 RESEARCH BLVD",
            "address_2": "SUITE 270",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595279",
            "telephone_number": "512-342-7805",
            "fax_number": "512-502-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11149 RESEARCH BLVD",
            "address_2": "SUITE 270",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595279",
            "telephone_number": "512-342-7805",
            "fax_number": "512-502-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT M. TATE, JR. D.D.S.;P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "MILNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-342-7805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S.;P.A."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "8487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 30, 2009; 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.