NPIMap

Organization Active NPI

Advanced Smiles Dental, PA

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1639189871
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18642 Issued in TX
Legal business name
ADVANCED SMILES DENTAL, PA
Practice address
8715 W. Parmer Lane
BLDG #2; Suite #100
Austin, TX 78729
Phone
(512) 258-3384
Fax
(512) 258-9433
NPI assigned
Aug 9, 2006
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Mrs. Julie A Eivens, DDS
Title
Co-Owner
Phone
(512) 258-3384

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18720 TX
General Practice Dentistry 1223G0001X 18642 TX Primary

Addresses

Primary practice location

8715 W. Parmer Lane
BLDG #2; Suite #100
Austin, TX 78729

Mailing address

8715 W. Parmer Lane
BLDG #2; Suite #100
Austin, TX 78729
Phone (512) 258-3384

National Provider Directory

National Provider Directory

Locations

8715 W Parmer Ln
Ste 100
Austin, TX 78729
Phone (512) 258-3384

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1639189871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 W. PARMER LANE",
            "address_2": "BLDG #2; SUITE #100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78729",
            "telephone_number": "512-258-3384",
            "fax_number": "512-258-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 W. PARMER LANE",
            "address_2": "BLDG #2; SUITE #100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78729",
            "telephone_number": "512-258-3384",
            "fax_number": "512-258-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SMILES DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "EIVENS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "512-258-3384",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18720",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18642",
            "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 Dec 31, 2024; 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.