Individual provider Active NPI

Carlos Alberto Diaz-Laboy, DMD

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1528020914
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27782 Issued in TX
Practice address
1144 Airport Blvd Ste 240
Austin, TX 78702-3165
Phone
(512) 666-2466
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049653 NY
General Practice Dentistry 1223G0001X DS035474 PA
General Practice Dentistry 1223G0001X 2024 PR
General Practice Dentistry 1223G0001X 27782 TX Primary

Addresses

Primary practice location

1144 Airport Blvd Ste 240
Austin, TX 78702-3165

Mailing address

9301 Old Bee Caves Rd Apt 127
Austin, TX 78735-8276
Phone (512) 921-1183

Other practice location 1

9301 Old Bee Caves Rd Apt 127
Austin, TX 78735-8276
Phone (512) 921-1183

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
2024PRMDClinical Psychologist
049653NYMDGeneral Practice Dentistry
DS035474PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1528020914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 OLD BEE CAVES RD APT 127",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358276",
            "telephone_number": "512-921-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 AIRPORT BLVD STE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023165",
            "telephone_number": "512-666-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9301 Old Bee Caves Rd Apt 127",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358276",
            "country_code": "US",
            "telephone_number": "512-921-1183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ-LABOY",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049653",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035474",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2024",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27782",
            "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 Mar 2, 2022; 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.