Individual provider Active NPI

Paul Marvin Lounsberry Jr., DDS PA

  • Dentist
  • Austin, TX
National Provider Identifier
1295846913
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14090 Issued in TX
Practice address
9000 Anderson Mill Rd
Austin, TX 78729
Phone
(512) 331-9088
Fax
(512) 918-9017
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14090 TX Primary

Addresses

Primary practice location

9000 Anderson Mill Rd
Austin, TX 78729

Mailing address

9000 Anderson Mill Rd
Austin, TX 78729
Phone (512) 331-9088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14090TXMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balcones Family Dental Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1295846913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 ANDERSON MILL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78729",
            "telephone_number": "512-331-9088",
            "fax_number": "512-918-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 ANDERSON MILL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78729",
            "telephone_number": "512-331-9088",
            "fax_number": "512-918-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUNSBERRY",
        "first_name": "PAUL",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 19, 2008; 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.