Organization Active NPI

Austin Perio Health

  • Periodontics
  • Austin, TX
National Provider Identifier
1639738271
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
AUSTIN PERIO HEALTH
Practice address
4310 Medical Pkwy Ste 201
Austin, TX 78756-3331
Phone
(512) 346-2490
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Dr. Joshua Roland Chapa, DDS
Title
Owner
Phone
(361) 549-7140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

4310 Medical Pkwy Ste 201
Austin, TX 78756-3331

Mailing address

4310 Medical Pkwy Ste 201
Austin, TX 78756-3331
Phone (512) 346-2490

National Provider Directory

National Provider Directory

Locations

4310 Medical Pkwy
Ste 201
Austin, TX 78756
Phone (361) 549-7140

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1639738271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 MEDICAL PKWY STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563331",
            "telephone_number": "512-346-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 MEDICAL PKWY STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563331",
            "telephone_number": "512-346-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PERIO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "CHAPA",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-549-7140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "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 Jun 7, 2019; 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.