Organization Active NPI

Austin Center for Endodontics, PLLC

  • Endodontics
  • Austin, TX
National Provider Identifier
1487901237
Registry record updated Aug 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
27981 Issued in TX
Legal business name
AUSTIN CENTER FOR ENDODONTICS, PLLC
Practice address
3301 Northland Dr
Suite 201
Austin, TX 78731-4939
Phone
(512) 879-1350
NPI assigned
Aug 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2012

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

Authorized official

Name
Dr. Ketan Amin, DMDNPI 1750455960
Title
President
Phone
(512) 879-1350

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 27981 TX Primary

Addresses

Primary practice location

3301 Northland Dr
Suite 201
Austin, TX 78731-4939

Mailing address

3301 Northland Dr
Suite 201
Austin, TX 78731-4939
Phone (512) 879-1350

National Provider Directory

National Provider Directory

Locations

3301 Northland Dr
Ste 201
Austin, TX 78731
Phone (512) 879-1350

Practitioners & affiliated clinicians

Practitioners 1

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": "1344643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344643200000",
    "number": "1487901237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NORTHLAND DR",
            "address_2": "SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314939",
            "telephone_number": "512-879-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NORTHLAND DR",
            "address_2": "SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314939",
            "telephone_number": "512-879-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN CENTER FOR ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-11",
        "last_updated": "2012-08-11",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "KETAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-879-1350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "27981",
            "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 Aug 11, 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.