NPIMap

Organization Active NPI

Austin Periodontal Associates Inc

  • Periodontics
  • Austin, TX
National Provider Identifier
1720195498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
16531 Issued in TX
Legal business name
AUSTIN PERIODONTAL ASSOCIATES INC
Practice address
7800 N Mopac
Suite 310
Austin, TX 78759
Phone
(512) 346-6097
Fax
(512) 346-8135
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Leonard Dolce, DDS MS
Title
President
Phone
(512) 346-6097

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 7673 TX
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 16531 TX Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 20256 TX

Addresses

Primary practice location

7800 N Mopac
Suite 310
Austin, TX 78759

Mailing address

7800 N Mopac
Suite 310
Austin, TX 78759-8961
Phone (512) 346-6097

National Provider Directory

National Provider Directory

Locations

7800 N Mopac Expy
Ste 310
Austin, TX 78759
Phone (512) 346-6097

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720195498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N MOPAC",
            "address_2": "SUITE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598961",
            "telephone_number": "512-346-6097",
            "fax_number": "512-346-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N MOPAC",
            "address_2": "SUITE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-346-6097",
            "fax_number": "512-346-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PERIODONTAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLCE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-346-6097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "7673",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "16531",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "20256",
            "primary": false
        }
    ],
    "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 Aug 22, 2020; 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.