Organization Active NPI

Austin Professional Dental

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1194021154
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22958 Issued in TX
Legal business name
AUSTIN PROFESSIONAL DENTAL
Practice address
615 W Slaughter LN
Suite 117
Austin, TX 78748-2094
Phone
(512) 233-6825
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Jazmin Nolen
Title
Executive Assistant
Phone
(972) 982-8490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22958 TX Primary

Addresses

Primary practice location

615 W Slaughter LN
Suite 117
Austin, TX 78748-2094

Mailing address

5400 Lyndon B Johnson Fwy
Suite 944
Dallas, TX 75240-1000
Phone (972) 982-8490

National Provider Directory

National Provider Directory

Locations

615 W Slaughter Ln
Ste 117
Austin, TX 78748
Phone (512) 233-6825

5400 Lyndon B Johnson Fwy
Ste 944
Dallas, TX 75240

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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": "1194021154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 944",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401000",
            "telephone_number": "972-982-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W SLAUGHTER LN",
            "address_2": "SUITE 117",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482094",
            "telephone_number": "512-233-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PROFESSIONAL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "JAZMIN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "972-982-8490"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22958",
            "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 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.