Organization Active NPI

J.W. Dental Associates Anderson LTD., LLP

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1659898997
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24821 Issued in TX
Legal business name
J.W. DENTAL ASSOCIATES ANDERSON LTD., LLP
Practice address
1720 W Anderson LN
Austin, TX 78757-1336
Phone
(512) 329-9900
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Authorized official

Name
Joyce Wong, DDSNPI 1497985667
Title
Manger
Phone
(512) 329-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24821 TX Primary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30459 TX

Addresses

Primary practice location

1720 W Anderson LN
Austin, TX 78757-1336

Mailing address

PO Box 162322
Austin, TX 78716-2322

Other names 1

  • Avenue Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1720 W Anderson Ln
Austin, TX 78757
Phone (512) 329-9900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1659898997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162322",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787162322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W ANDERSON LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571336",
            "telephone_number": "512-329-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.W. DENTAL ASSOCIATES ANDERSON LTD., LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "512-329-9900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24821",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2017; 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.