Austin Periodontics PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

AUSTIN PERIODONTICS PA

Practice address

8200 N Mopac Expy Ste 120
Austin, TX 78759-8845

Phone

(512) 863-9500

Fax

(512) 863-9562

NPI assigned

Dec 28, 2020

Last updated

Dec 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Callia, DDS, MS

Title

Managing Partner

Phone

(512) 589-9108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1245827096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 N MOPAC EXPY STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598845",
            "telephone_number": "512-863-9500",
            "fax_number": "512-863-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 N MOPAC EXPY STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598845",
            "telephone_number": "512-863-9500",
            "fax_number": "512-863-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PERIODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "CALLIA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "512-589-9108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.