Active NPI
Stassney Austin Dental PLLC
Doing business as River Rock Dental
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1336603273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- STASSNEY AUSTIN DENTAL PLLC
- Doing business as
- River Rock Dental
- Practice address
- 5717 S Interstate 35 Ste 101
Austin, TX 78744-2711 - Phone
- (512) 462-4775
- NPI assigned
- Jan 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faith Gaskins
- Title
- Director of Credentialing
- Phone
- (630) 877-3520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5717 S Interstate 35 Ste 101
Austin, TX 78744-2711
Mailing address
PO Box 734753
Dallas, TX 75373-4753
Phone (972) 869-3789
Other names 1
- River Rock Dental
National Provider Directory
National Provider DirectoryLocations
5717 S Interstate 35
Ste 101
Austin, TX 78744
Phone (512) 462-4775
Practitioners & affiliated clinicians
Practitioners 1
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": "1548288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682467200000",
"number": "1336603273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734753",
"city": "DALLAS",
"state": "TX",
"postal_code": "753734753",
"telephone_number": "972-869-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5717 S INTERSTATE 35 STE 101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787442711",
"telephone_number": "512-462-4775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STASSNEY AUSTIN DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-24",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A",
"authorized_official_last_name": "GASKINS",
"authorized_official_first_name": "FAITH",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "630-877-3520"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River Rock Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
- Kristen L Starzynski, PMHNP-BC
- Daniel Stasiak, DC
- Sarah Beth Stasica, LMSW
- Alessandra Stasnopolis, MS, RDN, LDN
- William Stassen, M.D.
- Stassney Smiles, P.C. (River Rock Dental - Stassney)
- David C Stat, M.D.
- State of Texas, Dept. of Aging & Disability, Hcssa (Home & Community Support Services)
- Takara Monique Staten
- States Become Traits
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.