Organization Active NPI

Michael B. Doughty

  • Endodontics
  • Austin, TX
National Provider Identifier
1811990138
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
17705 Issued in TX
Legal business name
MICHAEL B. DOUGHTY
Practice address
901 S. Mopac Expy. Building 5
Suite 220
Austin, TX 78746
Phone
(512) 327-0461
Fax
(512) 327-0916
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Joy Westfall
Title
Office Administrator
Phone
(512) 327-0461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 17705 TX Primary

Addresses

Primary practice location

901 S. Mopac Expy. Building 5
Suite 220
Austin, TX 78746

Mailing address

901 S. Mopac Expy. Building 5
Suite 220
Austin, TX 78746
Phone (512) 327-0461

National Provider Directory

National Provider Directory

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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1811990138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S. MOPAC EXPY. BUILDING 5",
            "address_2": "SUITE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-327-0461",
            "fax_number": "512-327-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S. MOPAC EXPY. BUILDING 5",
            "address_2": "SUITE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-327-0461",
            "fax_number": "512-327-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. DOUGHTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "512-327-0461"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "17705",
            "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 Oct 31, 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.