NPIMap

Organization Active NPI

Advanced Dental Care of Austin

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1366570731
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11484 Issued in TX
Legal business name
ADVANCED DENTAL CARE OF AUSTIN
Practice address
6500 McNeil Drive
Building One
Austin, TX 78729-6500
Phone
(512) 331-1477
Fax
(512) 331-4153
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Justin J D'Abadie, D.D.S.
Title
Owner
Phone
(512) 331-1477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11484 TX Primary

Addresses

Primary practice location

6500 McNeil Drive
Building One
Austin, TX 78729-6500

Mailing address

6500 McNeil Drive
Building One
Austin, TX 78729-6500
Phone (512) 331-1477

National Provider Directory

National Provider Directory

Locations

6500 McNeil Dr
Bldg One
Austin, TX 78729
Phone (512) 331-1477

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366570731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 MCNEIL DRIVE",
            "address_2": "BUILDING ONE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787296500",
            "telephone_number": "512-331-1477",
            "fax_number": "512-331-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 MCNEIL DRIVE",
            "address_2": "BUILDING ONE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787296500",
            "telephone_number": "512-331-1477",
            "fax_number": "512-331-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CARE OF AUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "D'ABADIE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-331-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11484",
            "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 Aug 22, 2020; 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.