Organization Active NPI

Steven L. Booth, DDS, PA

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
National Provider Identifier
1255845061
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
18052 Issued in TX
Legal business name
STEVEN L. BOOTH, DDS, PA
Doing business as
Silver Screen Dental
Practice address
11851 Jollyville Rd Ste 201
Austin, TX 78759-2350
Phone
(512) 345-8800
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Steven Leslie Booth, DDS
Title
Owner/Dentist
Phone
(512) 345-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 18052 TX Primary

Addresses

Primary practice location

11851 Jollyville Rd Ste 201
Austin, TX 78759-2350

Mailing address

11851 Jollyville Rd Ste 201
Austin, TX 78759-2350
Phone (512) 345-8800

Other names 1

  • Silver Screen Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Silver Screen Dental2 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.

Locations

11851 Jollyville Rd
Ste 201
Austin, TX 78759
Phone (512) 345-8800

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1255845061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592350",
            "telephone_number": "512-345-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592350",
            "telephone_number": "512-345-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN L. BOOTH, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "512-345-8800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "18052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Screen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2017; 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.