Austin Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AUSTIN DENTAL CARE

Practice address

4419 Frontier TRL Ste 104
Austin, TX 78745-1567

Phone

(512) 444-1133

Fax

(512) 445-0552

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Evan Matthysse, DDS

Title

Sole Owner

Phone

(512) 444-1133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1699503375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 FRONTIER TRL STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451567",
            "telephone_number": "512-444-1133",
            "fax_number": "512-445-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 FRONTIER TRL STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451567",
            "telephone_number": "512-444-1133",
            "fax_number": "512-445-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MATTHYSSE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "512-444-1133",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Counseling Associates PLLC
• Austin Counseling House, PLLC
• Austin Critical Care Specialists PA
• Austin DBT Associates
• Austin Dental Associates PLLC
• Austin Dental Center, PC
• Austin Dental Group PLLC
• Austin Dental Sleep Associates PLLC
• Austin Dental Spa, PLLC
• Austin Dental Westlake PLLC

• 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 Jul 23, 2024; 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.