NPIMap

Organization Active NPI

AIDS Services of Austin Inc

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1760500078
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AIDS SERVICES OF AUSTIN INC
Practice address
711 W. 38TH St.
Suite E-4
Austin, TX 78705
Phone
(512) 479-6633
Fax
(512) 479-6617
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Jeannie Nelson
Title
Director of Dental Services
Phone
(512) 900-3471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

711 W. 38TH St.
Suite E-4
Austin, TX 78705

Mailing address

PO Box 4874
Austin, TX 78765
Phone (512) 458-2437

Other names 1

  • Jack Sansing Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3000 Medical Arts St
Ste A
Austin, TX 78705

711 W 38th St
Ste E4
Austin, TX 78705
Phone (512) 479-6633

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1760500078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4874",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78765",
            "telephone_number": "512-458-2437",
            "fax_number": "512-452-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W. 38TH ST.",
            "address_2": "SUITE E-4",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-479-6633",
            "fax_number": "512-479-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS SERVICES OF AUSTIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "DIRECTOR OF DENTAL SERVICES",
        "authorized_official_telephone_number": "512-900-3471"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jack Sansing Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 19, 2016; 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.