NPIMap

Organization Active NPI

Austech Dental, PLLC

Doing business as Austin Dental

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1366588204
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AUSTECH DENTAL, PLLC
Doing business as
Austin Dental
Practice address
2206 W Parmer LN
Austin, TX 78727-4330
Phone
(512) 835-1924
Fax
(512) 835-2585
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Destina Olivares
Title
Business Operations Manager
Phone
(512) 835-1924

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 13505 TX
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

2206 W Parmer LN
Austin, TX 78727-4330

Mailing address

2206 W Parmer LN
Austin, TX 78727-4330
Phone (512) 835-1924

Other identifiers 4

IdentifierTypeStateIssuer
1427273382OtherTXINDIVIDUAL
1619600475OtherTXINDIVIDUAL
1528282407OtherTXINDIVIDUAL
1447748090OtherTXINDIVIDUAL

Other names 1

  • Austin Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2206 W Parmer Ln
Austin, TX 78727
Phone (512) 835-1924

Practitioners & affiliated clinicians

Practitioners 6

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1366588204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 W PARMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274330",
            "telephone_number": "512-835-1924",
            "fax_number": "512-835-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 W PARMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274330",
            "telephone_number": "512-835-1924",
            "fax_number": "512-835-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTECH DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "DESTINA",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS MANAGER",
        "authorized_official_telephone_number": "512-835-1924"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "13505",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1427273382",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1619600475",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1528282407",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1447748090",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Austin Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 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.

Verify at the official NPI Registry.