Individual provider Active NPI

Richard Joseph Hlista, D.M.D.

  • Prosthodontics
  • Austin, TX
National Provider Identifier
1689874612
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
13465 Issued in TX
Practice address
7800 N Mopac Expy
Suite 260
Austin, TX 78759-8900
Phone
(512) 458-5205
NPI assigned
Jul 18, 2007
Last updated
Jul 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 13465 TX Primary

Addresses

Primary practice location

7800 N Mopac Expy
Suite 260
Austin, TX 78759-8900

Mailing address

7800 N Mopac Expy
Suite 260
Austin, TX 78759-8900
Phone (512) 458-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 27, 2016 through Jan 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13465TXMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Rad Cosmetic and Implant Dentistry PLLC Prosthodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1689874612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N MOPAC EXPY",
            "address_2": "SUITE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598900",
            "telephone_number": "512-458-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N MOPAC EXPY",
            "address_2": "SUITE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598900",
            "telephone_number": "512-458-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLISTA",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "13465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.