Organization Active NPI

Hutto Modern Dentistry,PC

Doing business as Hutto Modern Dentistry

  • Dentist
  • Hutto, TX
National Provider Identifier
1295286623
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HUTTO MODERN DENTISTRY,PC
Doing business as
Hutto Modern Dentistry
Practice address
5002 Gattis School Rd Suite 200
Hutto, TX 78634
Phone
(512) 501-4148
Fax
(512) 920-6421
NPI assigned
Oct 20, 2016
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Dr. Benjamin J Poest, DDS
Title
Owner Dentist
Phone
(512) 501-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

5002 Gattis School Rd Suite 200
Hutto, TX 78634

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (512) 501-4148

Other names 1

  • Hutto Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5002 Gattis School Rd
Ste 200
Hutto, TX 78634
Phone (512) 501-4148

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1295286623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "512-501-4148",
            "fax_number": "512-920-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 GATTIS SCHOOL RD SUITE 200",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "78634",
            "telephone_number": "512-501-4148",
            "fax_number": "512-920-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTTO MODERN DENTISTRY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "POEST",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "512-501-4148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutto Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.