NPIMap

Organization Active NPI

Urbina Family Dental

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1801201066
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23912 Issued in TX
Legal business name
URBINA FAMILY DENTAL
Practice address
940 Payton Gin Rd
Austin, TX 78758-6720
Phone
(512) 834-8400
Fax
(512) 287-5326
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Dr. Therese Madelle Urbina, DDSNPI 1538323183
Title
Owner/Dentist
Phone
(512) 834-8400

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 23912 TX Primary

Addresses

Primary practice location

940 Payton Gin Rd
Austin, TX 78758-6720

Mailing address

940 Payton Gin Rd
Austin, TX 78758-6720
Phone (512) 834-8400

National Provider Directory

National Provider Directory

Locations

940 Payton Gin Rd
Austin, TX 78758
Phone (512) 834-8400

Practitioners & affiliated clinicians

Practitioners 2

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": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1801201066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 PAYTON GIN RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586720",
            "telephone_number": "512-834-8400",
            "fax_number": "512-287-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 PAYTON GIN RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586720",
            "telephone_number": "512-834-8400",
            "fax_number": "512-287-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBINA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "URBINA",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "MADELLE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "512-834-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23912",
            "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 Jun 26, 2014; 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.