Austin Modern Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AUSTIN MODERN DENTISTRY, PC

Practice address

3601 W William Cannon Dr BLDG 4
Austin, TX 78749-1533

Phone

(512) 892-0817

Fax

(512) 899-2111

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John S Barnes, DDS

Title

Contracts Admin

Phone

(512) 892-0817

Specialties & licenses 1

Addresses

Other names 1

• Austin Modern Dentistry Doing business as

Locations

Practitioners 1

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

• Calvin Su, DDS

  • General Practice Dentistry
  • Hutto, TX
  • NPI 1144921834
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1174829162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W WILLIAM CANNON DR BLDG 4",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491533",
            "telephone_number": "512-892-0817",
            "fax_number": "512-899-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONTRACTS ADMIN",
        "authorized_official_telephone_number": "512-892-0817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin Mind and Behavioral Health, LLC
• Austin Mind Body
• Austin Mind Care PLLC
• Austin Mindfulness PLLC
• Austin Minor Emergency Clinic
• Austin Nephrology Associates, PA
• Austin Neuro Spine PLLC
• Austin Neurological Clinic
• Austin Neurosurgical and Spine Institute, PA
• Austin Neurosurgical and Spine Institute, PA

• 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 Feb 8, 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.