NPIMap

Organization Active NPI

Northland Dental Studio, PA

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1790052249
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23261 Issued in TX
Legal business name
NORTHLAND DENTAL STUDIO, PA
Practice address
3307 Northland Dr
Suite 230
Austin, TX 78731-4946
Phone
(512) 388-2220
Fax
(512) 388-2230
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Dr. Katie Hadden, D.D.S.NPI 1528266319
Title
Dentist
Phone
(512) 388-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23261 TX Primary

Addresses

Primary practice location

3307 Northland Dr
Suite 230
Austin, TX 78731-4946

Mailing address

3307 Northland Dr
Austin, TX 78731-4946
Phone (512) 388-2220

National Provider Directory

National Provider Directory

Locations

3307 Northland Dr
Ste 230
Austin, TX 78731
Phone (512) 388-2220

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": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1790052249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 NORTHLAND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314946",
            "telephone_number": "512-388-2220",
            "fax_number": "512-388-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 NORTHLAND DR",
            "address_2": "SUITE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314946",
            "telephone_number": "512-388-2220",
            "fax_number": "512-388-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND DENTAL STUDIO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "HADDEN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "512-388-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23261",
            "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 Nov 29, 2011; 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.