NPIMap

Organization Active NPI

Austin Dental Care PC

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1467624577
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
060008571 Issued in IL
Legal business name
AUSTIN DENTAL CARE PC
Practice address
1951 E 79TH St
Chicago, IL 60649-4632
Phone
(773) 221-4071
Fax
(773) 221-9602
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. Joseph Watson, D.D.S.NPI 1861481053
Title
Dentist
Phone
(773) 221-4071

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 060008571 IL Primary

Addresses

Primary practice location

1951 E 79TH St
Chicago, IL 60649-4632

Mailing address

1951 E 79TH St
Chicago, IL 60649-4632
Phone (773) 221-4071

National Provider Directory

National Provider Directory

Locations

1951 E 79th St
Chicago, IL 60649
Phone (773) 221-4071

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": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1467624577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606494632",
            "telephone_number": "773-221-4071",
            "fax_number": "773-221-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606494632",
            "telephone_number": "773-221-4071",
            "fax_number": "773-221-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-221-4071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "060008571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.