Active NPI
Michael Qingtian Zhang, D.D.S.
- Pediatric Dentistry
- Austin, TX
National Provider Identifier
1912387903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30938
- Practice address
- 2700 S 1St St
Austin, TX 78704 - Phone
- (512) 442-4338
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 30938 | TX | Primary |
Addresses
Primary practice location
2700 S 1St St
Austin, TX 78704
Mailing address
2700 S 1St St
Austin, TX 78704-5421
Phone (210) 730-0446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30938 | Other | TX | TEXAS DENTAL LICENSE |
Other names 1
- Qingtian Zhang
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30938 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1912387903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 S 1ST ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045421",
"telephone_number": "210-730-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 S 1ST ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "512-442-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "MICHAEL",
"middle_name": "QINGTIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "30938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DENTAL LICENSE",
"identifier": "30938",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "QINGTIAN",
"last_name": "ZHANG",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.