Sophie Duval-Austin, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8183 Issued in KY

Practice address

25 Town Center Blvd
Suite 202
Crestview Hills, KY 41017-2417

Phone

(859) 344-6200

Fax

(859) 344-0980

NPI assigned

Jan 4, 2007

Last updated

Aug 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Pediatric Dental Garden Center

  • Pediatric Dentistry
  • Crestview Hills, KY
  • NPI 1285902940
  Authorized official Same address or phone

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1316094329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TOWN CENTER BLVD",
            "address_2": "SUITE 202",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410172417",
            "telephone_number": "859-344-6200",
            "fax_number": "859-344-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TOWN CENTER BLVD",
            "address_2": "SUITE 202",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410172417",
            "telephone_number": "859-344-6200",
            "fax_number": "859-344-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL-AUSTIN",
        "first_name": "SOPHIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8183",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "8183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100004690",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Rae Downton, CNM
• DRS Haas & Wehrman PSC
• Rhianna Dunne, M.A., CF-SLP
• Lester Sherman Duplechan, M.D.
• Michael William Dusing, MD
• Dva Renal Healthcare Inc (Crestview Hills Dialysis)
• Matthew J Dykhuizen, M.D.
• Jordan A Earlywine, DPT
• Brooke B Edwards, M.D.
• David Edwards, APRN, MSN, PMHNP-BC

• Pediatric Dentistry in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.