Active NPI
Jonathan Austin, D.M.D
- General Practice Dentistry
- Lincolnton, NC
National Provider Identifier
1508217597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10381
- Practice address
- 640 S Magnolia St
Lincolnton, NC 28092-3736 - Phone
- (704) 732-3336
- Fax
- (704) 735-3637
- NPI assigned
- Jun 30, 2016
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10381 | NC | Primary |
Addresses
Primary practice location
640 S Magnolia St
Lincolnton, NC 28092-3736
Mailing address
640 S Magnolia St
Lincolnton, NC 28092-3736
Phone (704) 732-3336
Other practice location 1
3718 N Highway 16
Denver, NC 28037-8179
Phone (704) 483-5501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8999385 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10381 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John L. Cloninger, DDS. PA | General Practice | Past | Accepting new patients |
| Jonathan C Austin DMD PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Lincolnton, NC
- NPI 1235313065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508217597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S MAGNOLIA ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923736",
"telephone_number": "704-732-3336",
"fax_number": "704-735-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S MAGNOLIA ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923736",
"telephone_number": "704-732-3336",
"fax_number": "704-735-3637"
}
],
"practiceLocations": [
{
"address_1": "3718 N Highway 16",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "NC",
"postal_code": "280378179",
"country_code": "US",
"telephone_number": "704-483-5501",
"fax_number": "704-483-1156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "JONATHAN",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8999385",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.