NPIMap

Organization Active NPI

Ron Austin, DDS, Inc

  • Dentist
  • Tishomingo, OK
National Provider Identifier
1275694853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4011 Issued in OK
Legal business name
RON AUSTIN, DDS, INC
Practice address
1202 E Main St
Tishomingo, OK 73460-2409
Phone
(580) 371-2396
Fax
(580) 371-9785
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ron Austin, DDSNPI 1184841538
Title
President
Phone
(580) 371-2396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 4011 OK Primary

Addresses

Primary practice location

1202 E Main St
Tishomingo, OK 73460-2409

Mailing address

1202 E Main St
Tishomingo, OK 73460-2409
Phone (580) 371-2396

National Provider Directory

National Provider Directory

Locations

1202 E Main St
Tishomingo, OK 73460
Phone (580) 371-2396

Practitioners & affiliated clinicians

Practitioners 2

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275694853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602409",
            "telephone_number": "580-371-2396",
            "fax_number": "580-371-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602409",
            "telephone_number": "580-371-2396",
            "fax_number": "580-371-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON AUSTIN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-371-2396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "4011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.