Austin T Eddy DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AUSTIN T EDDY DMD PLLC

Practice address

115 N Beech St
Cortez, CO 81321-3207

Phone

(970) 565-7275

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Austin Tyler Eddy, DMDNPI 1962081471

Title

Owner/Dentist

Phone

(435) 590-1795

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Austin Tyler Eddy, DMD

  • Dentist
  • Chaparral, NM
  • NPI 1962081471
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1821783499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 LOMA BLANCA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799344123",
            "telephone_number": "435-590-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N BEECH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213207",
            "telephone_number": "970-565-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN T EDDY DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-09",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "435-590-1795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Arriola-Story, AU.D.
• Scott Arter
• Kenton Lee Asche, D.O.
• Aspen Gardens Assisted Living, Inc.
• Celeste Anne Aurorean, ND
• Julie Ayers, LMT
• B&H General Contracting
• Douglas Roy Bagge, MD
• Erica Whipple Baker, CACII
• Leighellen Bane, LCSW, LAC

• General Practice Dentistry in Cortez, CO
• Providers in Cortez, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.