Individual provider Active NPI

Pru Singh Aurora, DDS

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1508001439
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
051361 Issued in NY
Practice address
4308 N Quinlan Park Rd
Ste 201
Austin, TX 78732-6070
Phone
(512) 266-7200
Fax
(512) 266-6197
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 051361 NY Primary
Pediatric Dentistry 1223P0221X 27878 TX

Addresses

Primary practice location

4308 N Quinlan Park Rd
Ste 201
Austin, TX 78732-6070

Mailing address

4308 N Quinlan Park Rd
Ste 201
Austin, TX 78732-6070
Phone (512) 266-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
051361NYMDPediatric Dentist
27878TXMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1508001439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 N QUINLAN PARK RD",
            "address_2": "STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326070",
            "telephone_number": "512-266-7200",
            "fax_number": "512-266-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 N QUINLAN PARK RD",
            "address_2": "STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326070",
            "telephone_number": "512-266-7200",
            "fax_number": "512-266-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH AURORA",
        "first_name": "PRU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "051361",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "27878",
            "primary": false
        }
    ],
    "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 Oct 24, 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.