NPIMap

Organization Active NPI

King Smiles IV, PA

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1578717039
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KING SMILES IV, PA
Practice address
2407 S Congress Ave
100
Austin, TX 78704-5505
Phone
(512) 832-6225
Fax
(512) 832-8448
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Julian Foncell Powers
Title
Insurance Coordinator
Phone
(512) 832-6225

Specialties & licenses 1

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

Addresses

Primary practice location

2407 S Congress Ave
100
Austin, TX 78704-5505

Mailing address

2407 S Congress Ave
100
Austin, TX 78704-5505
Phone (512) 832-6225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1578717039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 S CONGRESS AVE",
            "address_2": "100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045505",
            "telephone_number": "512-832-6225",
            "fax_number": "512-832-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 S CONGRESS AVE",
            "address_2": "100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045505",
            "telephone_number": "512-832-6225",
            "fax_number": "512-832-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING SMILES IV, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "FONCELL",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "512-832-6225"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 11, 2008; 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.