Organization Active NPI

Airport Dental Care, PC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1386971471
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AIRPORT DENTAL CARE, PC
Practice address
3851 Airport Blvd Ste 105
Austin, TX 78722-1344
Phone
(512) 291-6684
NPI assigned
Nov 10, 2009
Last updated
Nov 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Dr. Michael Nussbaum, DDS
Title
Owner
Phone
(512) 291-6684

Specialties & licenses 1

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

Addresses

Primary practice location

3851 Airport Blvd Ste 105
Austin, TX 78722-1344

Mailing address

3851 Airport Blvd Ste 105
Austin, TX 78722-1344
Phone (512) 291-6684

National Provider Directory

National Provider Directory

Locations

3851 Airport Blvd
Ste 105
Austin, TX 78722
Phone (512) 291-6684

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": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1386971471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 AIRPORT BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221344",
            "telephone_number": "512-291-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 AIRPORT BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221344",
            "telephone_number": "512-291-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRPORT DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-291-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Nov 10, 2009; 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.