NPIMap

Organization Active NPI

Randall Kies DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1861783557
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11098 Issued in TX
Legal business name
RANDALL KIES DDS
Practice address
4029 S Capital of Texas Hwy
Ste 109
Austin, TX 78704-7927
Phone
(512) 445-5866
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Dr. Randall Kies, DDSNPI 1528109063
Title
Owner
Phone
(512) 445-5866

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 11098 TX Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21186 TX
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 7037 TX

Addresses

Primary practice location

4029 S Capital of Texas Hwy
Ste 109
Austin, TX 78704-7927

Mailing address

4029 S Capital of Texas Hwy
Ste 109
Austin, TX 78704-7927

National Provider Directory

National Provider Directory

Locations

4029 S Capital of Texas Hwy
Ste 109
Austin, TX 78704
Phone (512) 445-5866

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": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1861783557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 S CAPITAL OF TEXAS HWY",
            "address_2": "STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 S CAPITAL OF TEXAS HWY",
            "address_2": "STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047927",
            "telephone_number": "512-445-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL KIES DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "KIES",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-445-5866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11098",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21186",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "7037",
            "primary": false
        }
    ],
    "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 Apr 28, 2011; 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.