NPIMap

Organization Active NPI

Welldent I PA

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1548666241
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16135 Issued in TX
Legal business name
WELLDENT I PA
Practice address
2550 S Ih 35
Suite 215
Austin, TX 78704-5722
Phone
(512) 537-8999
Fax
(512) 628-6460
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Dr. Sidney Kirk Cunningham, D.D.S.
Title
President & Owner
Phone
(512) 537-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16135 TX Primary

Addresses

Primary practice location

2550 S Ih 35
Suite 215
Austin, TX 78704-5722

Mailing address

2550 S Ih 35
Suite 215
Austin, TX 78704-5722
Phone (512) 537-8999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1548666241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S IH 35",
            "address_2": "SUITE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045722",
            "telephone_number": "512-537-8999",
            "fax_number": "512-628-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S IH 35",
            "address_2": "SUITE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045722",
            "telephone_number": "512-537-8999",
            "fax_number": "512-628-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLDENT I PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "512-537-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16135",
            "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 Nov 7, 2014; 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.