NPIMap

Organization Active NPI

Mark Whitney Jumper II, D.D.S., P.a.

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1457517773
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23174 Issued in TX
Legal business name
MARK WHITNEY JUMPER II, D.D.S., P.A.
Practice address
1614 E Riverside Dr
Austin, TX 78741-1006
Phone
(512) 707-7300
Fax
(512) 707-7302
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Dr. Mark Whitney Jumper II, DDSNPI 1225136427
Title
President
Phone
(512) 826-6559

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23174 TX Primary

Addresses

Primary practice location

1614 E Riverside Dr
Austin, TX 78741-1006

Mailing address

1614 E Riverside Dr
Austin, TX 78741-1006
Phone (512) 707-7300

Other identifiers 1

IdentifierTypeStateIssuer
183823703MedicaidTX

Other names 1

  • Aloha Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1614 E Riverside Dr
Austin, TX 78741
Phone (512) 707-7300

Practitioners & affiliated clinicians

Practitioners 4

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": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1457517773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E RIVERSIDE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411006",
            "telephone_number": "512-707-7300",
            "fax_number": "512-707-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E RIVERSIDE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411006",
            "telephone_number": "512-707-7300",
            "fax_number": "512-707-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WHITNEY JUMPER II, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "JUMPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WHITNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-826-6559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183823703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloha 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 Dec 5, 2011; 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.