Active NPI
Judy Ann Adan, D.M.D.
- Dentist
- Austin, TX
National Provider Identifier
1881933372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31619
- Practice address
- 8300 N FM 620, BLDG G Ste 100
Austin, TX 78726 - Phone
- (512) 331-0359
- NPI assigned
- Feb 4, 2013
- Last updated
- Apr 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 64035 | CA | |
| Dentist | 122300000X | 31619 | TX | Primary |
Addresses
Primary practice location
8300 N FM 620, BLDG G Ste 100
Austin, TX 78726
Mailing address
18 Byron PL
Colonia, NJ 07067-1310
Phone (732) 259-5607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64035 | CA | MD | Dentist |
| 31619 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1881933372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 BYRON PL",
"city": "COLONIA",
"state": "NJ",
"postal_code": "070671310",
"telephone_number": "732-259-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 N FM 620, BLDG G STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78726",
"telephone_number": "512-331-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAN",
"first_name": "JUDY ANN",
"name_prefix": "Miss",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-04",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64035",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31619",
"primary": true
}
],
"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 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.