Austin Teitelbaum, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

29589 Issued in TX

Practice address

150 W Parker Rd Ste 702
Houston, TX 77076-2940

Phone

(713) 691-1188

NPI assigned

Feb 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• La Michoacana Dental Clinic LLC

  • Dental Clinic/Center
  • Houston, TX
  • NPI 1225339435
  NPD (past)

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1861765661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W PARKER RD STE 702",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W PARKER RD STE 702",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762940",
            "telephone_number": "713-691-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITELBAUM",
        "first_name": "AUSTIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "29589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davis C Teichgraeber, MD
• John Flynn Teichgraeber, M.D.
• Dalia Teima, M.D
• Dian Gayle Teinert
• Edward R. Teitel, M.D.
• Holly Mull Teitsma, PH.D.
• Viviane L Teixeira, N.P.
• Jaris Tejada Torres, DDS
• Norma Susana Tejada-Foster, FNP-C
• Alfonso Tejada, LPC

• Periodontics in Houston, TX
• Providers in Houston, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.