Ron Austin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4011 Issued in OK

Practice address

1202 E Main St
Tishomingo, OK 73460-2409

Phone

(580) 371-2396

NPI assigned

Apr 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ron Austin, DDS, Inc

  • Dentist
  • Tishomingo, OK
  • NPI 1275694853
  NPD (past) Authorized official
• Blue River Smiles PLLC

  • General Practice Dentistry
  • Tishomingo, OK
  • NPI 1760069520
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184841538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602409",
            "telephone_number": "580-371-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602409",
            "telephone_number": "580-371-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acadiana Healthcare of Oklahoma, Inc. (Johnston Memorial Hospital)
• Kayla Marie Adams, APRN-CNP
• Kevin Adkison
• Wellie P. Adlaon, M.D.
• Courtney Alisha Airington, APRN-CNP
• Ashley Ayres
• Hailey Celeste Bailey
• Chastity Fawn Baken
• Lexi Ballinger
• Karen Suzanne Barnes

• Dentist in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.