NPIMap

Organization Active NPI

Alfred D Austin Jr DDS PLLC

  • Dentist
  • Clare, MI
National Provider Identifier
1790393551
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALFRED D AUSTIN JR DDS PLLC
Practice address
104 W Wheaton Ave
Clare, MI 48617-1247
Phone
(989) 386-7021
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Dr. Alfred D Austin Jr., DDSNPI 1568479913
Title
Dentist
Phone
(989) 386-7021

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

104 W Wheaton Ave
Clare, MI 48617-1247

Mailing address

104 W Wheaton Ave
Clare, MI 48617-1247
Phone (989) 386-7021

Other identifiers 1

IdentifierTypeStateIssuer
1568479913MedicaidMI

Other names 1

  • Austin & Austin Dentistry Other name

National Provider Directory

National Provider Directory

Locations

104 W Wheaton Ave
Clare, MI 48617
Phone (989) 386-7021

Practitioners & affiliated clinicians

Practitioners 3

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": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1790393551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W WHEATON AVE",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171247",
            "telephone_number": "989-386-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W WHEATON AVE",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171247",
            "telephone_number": "989-386-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED D AUSTIN JR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "989-386-7021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568479913",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin & Austin Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clare, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.