Individual provider Active NPI

Ramon Noel Hernandez, DDS

  • Prosthodontics
  • Austin, TX
National Provider Identifier
1629684402
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
36679 Issued in TX
Practice address
13000 N Interstate 35 Ste 206
Austin, TX 78753-1030
Phone
(512) 815-2524
NPI assigned
Sep 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 36679 TX Primary

Addresses

Primary practice location

13000 N Interstate 35 Ste 206
Austin, TX 78753-1030

Mailing address

2901 Barton Skwy Apt 1503
Austin, TX 78746-7555
Phone (424) 385-4586

Other identifiers 1

IdentifierTypeStateIssuer
-Other-

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Austin

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
36679TXMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1629684402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BARTON SKWY APT 1503",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467555",
            "telephone_number": "424-385-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N INTERSTATE 35 STE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531030",
            "telephone_number": "512-815-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAMON",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "36679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "-",
            "identifier": "-",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Austin",
            "affiliation": "N",
            "address_1": "2901 Barton Skwy Apt 1503",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787467555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 17, 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.