Kathryn A. Zoumboukos, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

32789 Issued in TX

Practice address

6000 W William Cannon Dr Ste A200
Austin, TX 78749-1977

Phone

(512) 282-0277

NPI assigned

Jul 27, 2012

Last updated

Jan 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

State licenses

Practice roles

Locations

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.

• SW Austin Dental PLLC

  dba Southwest Austin Dental

  • General Practice Dentistry
  • Austin, TX
  • NPI 1659860112
  NPD Authorized official

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1184970170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W WILLIAM CANNON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491975",
            "telephone_number": "512-282-0277",
            "fax_number": "512-282-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W WILLIAM CANNON DR STE A200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491977",
            "telephone_number": "512-282-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOUMBOUKOS",
        "first_name": "KATHRYN",
        "middle_name": "A.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9757",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoltan Trizna MD, PA
• Laura Zongker, MS, CCC-SLP
• Helen Cecille Zook, PA-C
• Juana Zorrilla
• Ming Zou, L.AC
• Maria Luisa Zubia, COTA
• Francesca Zucaro
• Shannon Zucca
• Lana Lee Zuck, LCSW
• Alecia Michelle Zuehlke, APRN

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.