Texas Smiles Dental Center of Austin, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TEXAS SMILES DENTAL CENTER OF AUSTIN, PLLC

Practice address

500 W William Cannon Dr
Suite 438-a
Austin, TX 78745-5845

Phone

(512) 329-5437

Fax

(512) 326-5439

NPI assigned

Sep 8, 2007

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jenell Stringer

Title

Manager, Licensing & Credentialing

Phone

(615) 750-0343

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1326233818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447",
            "fax_number": "719-583-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILLIAM CANNON DR",
            "address_2": "SUITE 438-A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455845",
            "telephone_number": "512-329-5437",
            "fax_number": "512-326-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SMILES DENTAL CENTER OF AUSTIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-08",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "STRINGER",
        "authorized_official_first_name": "JENELL",
        "authorized_official_title_or_position": "MANAGER, LICENSING & CREDENTIALING",
        "authorized_official_telephone_number": "615-750-0343",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187592401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Prosthetic Clinics Atx LLC
• Texas Radiology Services PLLC
• Texas Residential & Vocational Services
• Texas School for the Blind
• Texas School for the Deaf
• Texas Spine and Orthopedic Surgeons
• Texas Spine and Pain Center PLLC
• Texas Spine and Sports Therapy Center
• Texas Sports & Family Medicine, PLLC
• Texas State Clinical Laboratories, Inc

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.