Organization Active NPI

Austin Perio Health

  • Periodontics
  • Austin, TX
National Provider Identifier
1558774554
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
28209 Issued in TX
Legal business name
AUSTIN PERIO HEALTH
Practice address
4310 Medical Pkwy Ste 201
Austin, TX 78756-3331
Phone
(512) 454-6861
Fax
(512) 454-4350
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Dr. Joshua Roland Chapa, DDS
Title
President
Phone
(361) 549-7140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 28209 TX Primary

Addresses

Primary practice location

4310 Medical Pkwy Ste 201
Austin, TX 78756-3331

Mailing address

8200 N Mopac Expy
Ste 120
Austin, TX 78759-8849
Phone (512) 346-2490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1558774554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 N MOPAC EXPY",
            "address_2": "STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598849",
            "telephone_number": "512-346-2490",
            "fax_number": "512-346-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 MEDICAL PKWY STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563331",
            "telephone_number": "512-454-6861",
            "fax_number": "512-454-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PERIO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "CHAPA",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-549-7140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "28209",
            "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 Jul 23, 2020; 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.