Active NPI
Anand Adatia, D.M.D.
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1194081182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29449
- Practice address
- 11100 Parkfield Dr
Austin, TX 78758-4263 - Phone
- (512) 339-7848
- Fax
- (512) 339-7862
- NPI assigned
- Apr 4, 2012
- Last updated
- Oct 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.028842 | IL | |
| General Practice Dentistry | 1223G0001X | 29449 | TX | Primary |
Addresses
Primary practice location
11100 Parkfield Dr
Austin, TX 78758-4263
Mailing address
4600 Mueller Blvd
Unit 2022
Austin, TX 78723
Phone (630) 362-0154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.028842 | IL | MD | Dentist |
| 29449 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1194081182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MUELLER BLVD",
"address_2": "UNIT 2022",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78723",
"telephone_number": "630-362-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 PARKFIELD DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787584263",
"telephone_number": "512-339-7848",
"fax_number": "512-339-7862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADATIA",
"first_name": "ANAND",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.028842",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "29449",
"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 Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.