Active NPI
Garrett Klingsporn, D.D.S.
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1700298320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29930
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 29930 | TX | MD | Surgery 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.