Organization Active NPI

Raymond Au & Augustine Au DDS PC

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1376754507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS 021021 L Issued in PA
Legal business name
RAYMOND AU & AUGUSTINE AU DDS PC
Practice address
121 N 10TH St
Philadelphia, PA 19107-2402
Phone
(215) 923-1304
Fax
(215) 923-5730
NPI assigned
May 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Augustine CHI-Kuen Au, D.D.S.NPI 1225250111
Title
Partner
Phone
(215) 923-1304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS 021021 L PA Primary

Addresses

Primary practice location

121 N 10TH St
Philadelphia, PA 19107-2402

Mailing address

121 N 10TH St
Philadelphia, PA 19107-2402
Phone (215) 923-1304

National Provider Directory

National Provider Directory

Locations

121 N 10th St
Philadelphia, PA 19107
Phone (215) 923-1304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376754507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072402",
            "telephone_number": "215-923-1304",
            "fax_number": "215-923-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072402",
            "telephone_number": "215-923-1304",
            "fax_number": "215-923-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND AU & AUGUSTINE AU DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "CHI-KUEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "215-923-1304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 021021 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

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.