Active NPI
Austin Family Dentisty of Little Rock
- Dentist
- Little Rock, AR
National Provider Identifier
1588087993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3057
- Legal business name
- AUSTIN FAMILY DENTISTY OF LITTLE ROCK
- Practice address
- 11211 Cantrell Rd
Ste 200
Little Rock, AR 72212-1819 - Phone
- (501) 223-9489
- NPI assigned
- Jan 22, 2014
- Organization subpart
- Yes
- Parent organization
- AUSTIN FAMILY DENTISTRY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan Anthony Austin, DDS
- Title
- Owner
- Phone
- (501) 223-9489
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3057 | AR | Primary |
Addresses
Primary practice location
11211 Cantrell Rd
Ste 200
Little Rock, AR 72212-1819
Mailing address
11211 Cantrell Rd
Ste 200
Little Rock, AR 72212-1819
Phone (501) 223-9489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6869920001 | Other | AR | MEDICARE PTAN |
National Provider Directory
National Provider Directory- Part of
- Austin Family Dentistry PA
Locations
11211 Cantrell Rd
Ste 200
Little Rock, AR 72212
Phone (501) 223-9489
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dentist
- Maumelle, AR
- NPI 1255415956
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Little Rock, AR
- NPI 1629365192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390348800000",
"number": "1588087993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 CANTRELL RD",
"address_2": "STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722121819",
"telephone_number": "501-223-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 CANTRELL RD",
"address_2": "STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722121819",
"telephone_number": "501-223-9489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTIN FAMILY DENTISTY OF LITTLE ROCK",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AUSTIN FAMILY DENTISTRY",
"enumeration_date": "2014-01-22",
"last_updated": "2014-01-22",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-223-9489",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "AR",
"license": "3057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "6869920001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.