NPIMap

Organization Active NPI

Roger E Austin, DDS, PA

  • General Practice Dentistry
  • Ramsey, MN
National Provider Identifier
1225229503
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07057 Issued in MN
Legal business name
ROGER E AUSTIN, DDS, PA
Practice address
15243 Nowthen Blvd NW
Ramsey, MN 55303-6138
Phone
(763) 421-2660
Fax
(763) 421-2661
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Roger E Austin, D.D.S.
Title
President/Owner
Phone
(763) 421-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 07057 MN Primary

Addresses

Primary practice location

15243 Nowthen Blvd NW
Ramsey, MN 55303-6138

Mailing address

15243 Nowthen Blvd NW
Ramsey, MN 55303-6138
Phone (763) 421-2660

Other identifiers 1

IdentifierTypeStateIssuer
1184614117OtherNPI ENUMERATOR FOR ROGER

Other names 1

  • Ramsey Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foley Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1225229503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 NOWTHEN BLVD NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553036138",
            "telephone_number": "763-421-2660",
            "fax_number": "763-421-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 NOWTHEN BLVD NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553036138",
            "telephone_number": "763-421-2660",
            "fax_number": "763-421-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER E AUSTIN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "763-421-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "07057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENUMERATOR FOR ROGER",
            "identifier": "1184614117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ramsey Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ramsey, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.