NPIMap

Organization Active NPI

Affordable Dentures & Implants - Texas, PLLC

Doing business as Advanced Dental Implant Center of Austin

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1689354912
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - TEXAS, PLLC
Doing business as
Advanced Dental Implant Center of Austin
Practice address
2530 Walsh Tarlton LN Ste 210
Austin, TX 78746-7782
Phone
(512) 402-5872
NPI assigned
Jul 21, 2023
Last updated
Jul 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Haley Wooster
Title
Enrollment Specialist
Phone
(712) 733-8551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2530 Walsh Tarlton LN Ste 210
Austin, TX 78746-7782

Mailing address

2530 Walsh Tarlton LN Ste 210
Austin, TX 78746-7782
Phone (512) 402-5872

Other names 1

  • Advanced Dental Implant Center of Austin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentures Implants - Texas PLLC42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

2530 Walsh Tarlton Ln
Ste 210
Austin, TX 78746
Phone (281) 265-7645

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1689354912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 WALSH TARLTON LN STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467782",
            "telephone_number": "512-402-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 WALSH TARLTON LN STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467782",
            "telephone_number": "512-402-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "WOOSTER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "712-733-8551"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Implant Center of Austin",
            "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 Jul 21, 2023; 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.