Individual provider Active NPI

Austin George Doyle, DMD

  • General Practice Dentistry
  • Woodstock, GA
National Provider Identifier
1750127494
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN123439 Issued in GA
Practice address
6304 Holly Springs Pkwy Ste 100
Woodstock, GA 30188-2500
Phone
(770) 924-0157
NPI assigned
Jul 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 DN123439 GA Primary

Addresses

Primary practice location

6304 Holly Springs Pkwy Ste 100
Woodstock, GA 30188-2500

Mailing address

735 Market St Unit 1104
Woodstock, GA 30188-1736

Other practice location 1

137 Johnson Ferry Rd Ste 2110
Marietta, GA 30068-4947
Phone (770) 953-3143

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
DN123439GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1750127494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MARKET ST UNIT 1104",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 HOLLY SPRINGS PKWY STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882500",
            "telephone_number": "770-924-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Johnson Ferry Rd Ste 2110",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300684947",
            "country_code": "US",
            "telephone_number": "770-953-3143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "AUSTIN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.