Individual provider Active NPI

Dawn Marie Austin, DDS

  • Dentist
  • Centennial, CO
National Provider Identifier
1841346509
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9310 Issued in CO
Practice address
15500 E. Broncos Parkway
Suite F
Centennial, CO 80112-7112
Phone
(720) 638-8131
Fax
(720) 612-7694
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22962 TX
Dentist 122300000X 9310 CO Primary

Addresses

Primary practice location

15500 E. Broncos Parkway
Suite F
Centennial, CO 80112-7112

Mailing address

15500 E. Broncos Parkway
Suite F
Centennial, CO 80112-7112
Phone (720) 638-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001715 CO Order and Referring Only - DentistPractitioner - Dentist 8921301110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22962TXMDClinical Psychologist
9310COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1841346509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 E. BRONCOS PARKWAY",
            "address_2": "SUITE F",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127112",
            "telephone_number": "720-638-8131",
            "fax_number": "720-612-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15500 E. BRONCOS PARKWAY",
            "address_2": "SUITE F",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127112",
            "telephone_number": "720-638-8131",
            "fax_number": "720-612-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22962",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.