Individual provider Active NPI

Steven Wolfington, DMD

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1518273853
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35067 Issued in TX
Practice address
9800 N Lake Creek Pkwy Ste 150
Austin, TX 78717-6069
Phone
(512) 883-8450
NPI assigned
Aug 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35067 TX Primary

Addresses

Primary practice location

9800 N Lake Creek Pkwy Ste 150
Austin, TX 78717-6069

Mailing address

9800 N Lake Creek Pkwy Ste 150
Austin, TX 78717-6069
Phone (512) 883-8450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819003608 TX Order and Referring Only - DentistPractitioner - Dentist 3375871072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1518273853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 N LAKE CREEK PKWY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787176069",
            "telephone_number": "512-883-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 N LAKE CREEK PKWY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787176069",
            "telephone_number": "512-883-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFINGTON",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.