Austin Primary Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

22247 Issued in TX

Legal business name

AUSTIN PRIMARY DENTAL INC

Practice address

6700 W Gate Blvd
Ste 103
Austin, TX 78745-4867

Phone

(512) 440-1333

Fax

(512) 440-0484

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jayashree Kyatam, D.M.D

Title

President

Phone

(512) 440-1333

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert B Meiser, D.D.S.

  • General Practice Dentistry
  • Austin, TX
  • NPI 1265438048
  NPD (past)
• Rupa T Rajanna, DMD

  • General Practice Dentistry
  • Austin, TX
  • NPI 1609116748
  NPD (past)

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1497991210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 W GATE BLVD",
            "address_2": "STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454867",
            "telephone_number": "512-440-1333",
            "fax_number": "512-440-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W GATE BLVD",
            "address_2": "STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454867",
            "telephone_number": "512-440-1333",
            "fax_number": "512-440-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PRIMARY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "KYATAM",
        "authorized_official_first_name": "JAYASHREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-440-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Preferred Neurology and Rehab PLLC
• Austin Premier Emergency Physicians
• Austin Premier Imaging, LP
• Austin Premier Radiology P.L.L.C.
• Austin Primary Care Physicians
• Austin Professional Counseling, PLLC
• Austin Professional Dental
• Austin Prosthetic Center, Inc
• Austin Psychcare (Michelle Magid)
• Austin Psychiatric Alliance, PLLC

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.