Individual provider Active NPI

Garrett Klingsporn, D.D.S.

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1700298320
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29930 Issued in TX
Practice address
8300 N FM 620 Rd Ste 800
Austin, TX 78726-4007
Phone
(512) 906-0906
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29930 TX Primary

Addresses

Primary practice location

8300 N FM 620 Rd Ste 800
Austin, TX 78726-4007

Mailing address

8300 N FM 620
Building N, Suite 800
Austin, TX 78726-4007
Phone (512) 906-0906

Other practice location 1

5600 Babcock Rd Apt 8303
San Antonio, TX 78240-1870
Phone (832) 326-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29930TXMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700298320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N FM 620",
            "address_2": "BUILDING N, SUITE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264007",
            "telephone_number": "512-906-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N FM 620 RD STE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264007",
            "telephone_number": "512-906-0906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Babcock Rd Apt 8303",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401870",
            "country_code": "US",
            "telephone_number": "832-326-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINGSPORN",
        "first_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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, 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.

Verify at the official NPI Registry.