NPIMap

Organization Active NPI

East Austin Dental

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1417485244
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
28126 Issued in TX
Legal business name
EAST AUSTIN DENTAL
Practice address
1000 E 5TH St Ste 110
Austin, TX 78702-3802
Phone
(512) 499-0067
Fax
(844) 270-5426
NPI assigned
May 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Adrian Bernal, DDSNPI 1992052518
Title
Owner
Phone
(512) 499-0067

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
Dental Clinic/Center 261QD0000X 28126 TX Primary

Addresses

Primary practice location

1000 E 5TH St Ste 110
Austin, TX 78702-3802

Mailing address

1000 E 5TH St Ste 110
Austin, TX 78702-3802
Phone (512) 499-0067

National Provider Directory

National Provider Directory

Locations

1000 E 5th St
Unit 110
Austin, TX 78702
Phone (512) 387-1980

Practitioners & affiliated clinicians

Practitioners 2

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": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417485244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 5TH ST STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023802",
            "telephone_number": "512-499-0067",
            "fax_number": "844-270-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 5TH ST STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023802",
            "telephone_number": "512-499-0067",
            "fax_number": "844-270-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST AUSTIN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-499-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "28126",
            "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 Jul 21, 2022; 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.