Organization Active NPI

Kathryn James Ventures

Doing business as Pecan Park Family Dentistry

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1407496474
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KATHRYN JAMES VENTURES
Doing business as
Pecan Park Family Dentistry
Practice address
12335 Hymeadow Dr Ste 200
Austin, TX 78750-1935
Phone
(512) 250-2424
Fax
(512) 383-5912
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Dr. Kathryn Lyn James, DDS
Title
General Dentist
Phone
(512) 250-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12335 Hymeadow Dr Ste 200
Austin, TX 78750-1935

Mailing address

12335 Hymeadow Dr Ste 200
Austin, TX 78750-1935
Phone (512) 250-2424

Other names 1

  • Pecan Park Family Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pecanparksmiles.com

National Provider Directory

National Provider Directory

Locations

12335 Hymeadow Dr
Ste 200
Austin, TX 78750
Phone (512) 250-2424

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1407496474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 HYMEADOW DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501935",
            "telephone_number": "512-250-2424",
            "fax_number": "512-383-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 HYMEADOW DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501935",
            "telephone_number": "512-250-2424",
            "fax_number": "512-383-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN JAMES VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "512-250-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pecanparksmiles.com",
            "affiliation": "N",
            "address_1": "12335 Hymeadow Dr Ste 200",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787501935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pecan Park Family Dentistry",
            "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 Jan 8, 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.