Austin Talis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11229 Issued in KY

Practice address

8517 Preston Hwy
Louisville, KY 40219-5301

Phone

(502) 966-4367

NPI assigned

Mar 27, 2023

Last updated

Aug 6, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Advanced Dental Center Brooks

  • Dental Clinic/Center
  • Brooks, KY
  • NPI 1689217523
  NPD
• Advanced Dental Center, Inc.

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1023180536
  NPD (past)

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1871297762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195301",
            "telephone_number": "502-966-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195301",
            "telephone_number": "502-966-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIS",
        "first_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "11229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy K Takagishi, MD
• Koji Takamoto, MD
• Tanya Talabay
• Corissa Renae Talamonti
• Caesar Iway Talili, PT
• Rachel Talis, DMD
• Talk Speech to Me
• Talk Unscripted, LLC
• Talking Trees Therapy
• Kavitha Tallapaneni, MD

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.