Blue Sky Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

33478 Issued in TX

Legal business name

BLUE SKY FAMILY DENTISTRY

Practice address

5915 La Crosse Ave Ste 105
Austin, TX 78739-1747

Phone

(919) 740-5096

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Ben Corpron, DDSNPI 1457727463

Title

Owner

Phone

(919) 740-5096

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ben Michael Corpron, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1457727463
  NPD (past) Authorized official

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1679071633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CROOKED LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 LA CROSSE AVE STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787391747",
            "telephone_number": "919-740-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "CORPRON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-740-5096",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "33478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Lotus Medical Group LLC
• Blue Melo LLC
• Blue Ridge Urology Services LLC
• Blue Sky Abiltiies, LLC
• Blue Sky Counseling LLC
• Blue Sky Orthotic and Prosthetics
• Rikki Blue, OTR/L
• Bluebell Counseling PLLC
• Bluebird Pediatric Therapy LLC
• Bluebon Medical

• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.