Active NPI
Austin Family Dental Spa PLLC
Doing business as Austin Dental Spa
- Dental Clinic/Center
- Austin, TX
National Provider Identifier
1699402735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- AUSTIN FAMILY DENTAL SPA PLLC
- Doing business as
- Austin Dental Spa
- Practice address
- 3305 Northland Dr Ste 515
Austin, TX 78731-4991 - Phone
- (512) 380-1300
- NPI assigned
- Aug 8, 2022
- Last updated
- Aug 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Robert Jennings, DDS
- Title
- Owner
- Phone
- (940) 206-8956
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
3305 Northland Dr Ste 515
Austin, TX 78731-4991
Mailing address
2109 Commerce St
Dallas, TX 75201-4305
Phone (972) 248-1221
Other names 1
- Austin Dental Spa
National Provider Directory
National Provider DirectoryLocations
2109 Commerce St
Dallas, TX 75201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1699402735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 COMMERCE ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014305",
"telephone_number": "972-248-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 NORTHLAND DR STE 515",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314991",
"telephone_number": "512-380-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTIN FAMILY DENTAL SPA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "940-206-8956",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Austin Dental Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
- Austin Eye Center PLLC
- Austin Eye Clinic Association
- Austin Eye Clinic Association (Austin Eye Laser and Surgicenter)
- Austin Family Allergy & Asthma, PA (Allergy & ENT Associates PLLC)
- Austin Family Care, PLLC
- Austin Family Dentistry PPLC
- Austin Family Eyecare Center, Inc.
- Austin Family Medical Clinic, P.a.
- Austin Family Mental Health, PA
- Austin Family Vision
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.