Organization Active NPI

Midtown Dental Associates, PC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1639497555
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12773 Issued in TX
Legal business name
MIDTOWN DENTAL ASSOCIATES, PC
Practice address
900 E 30TH St
#306
Austin, TX 78705-3326
Phone
(512) 472-2246
NPI assigned
May 17, 2010
Last updated
May 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Catherine Wootton
Title
Office Manager
Phone
(512) 472-2246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12773 TX Primary

Addresses

Primary practice location

900 E 30TH St
#306
Austin, TX 78705-3326

Mailing address

900 E 30TH St
#306
Austin, TX 78705-3326
Phone (512) 472-2246

Other names 1

  • Robert T. Wootton, DDS, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

900 E 30th St
Ste 306
Austin, TX 78705
Phone (512) 472-2246

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1639497555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST",
            "address_2": "#306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053326",
            "telephone_number": "512-472-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST",
            "address_2": "#306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053326",
            "telephone_number": "512-472-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "WOOTTON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-472-2246"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert T. Wootton, DDS, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 17, 2010; 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.