Active NPI
Jeffrey Scott Atherton, DDS
- Dentist
- Austin, TX
National Provider Identifier
1922103753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11976
- Practice address
- 7517 Cameron Road
Suite 106 Longhorn Dental
Austin, TX 78752 - Phone
- (512) 371-0978
- Fax
- (512) 371-7283
- NPI assigned
- Sep 14, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 11976 | TX | Primary |
Addresses
Primary practice location
7517 Cameron Road
Suite 106 Longhorn Dental
Austin, TX 78752
Mailing address
7517 Cameron Road
Suite 107 Longhorn Dental Associates PC
Austin, TX 78752
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 |
|---|---|---|---|
| 11976 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922103753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7517 CAMERON ROAD",
"address_2": "SUITE 107 LONGHORN DENTAL ASSOCIATES PC",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7517 CAMERON ROAD",
"address_2": "SUITE 106 LONGHORN DENTAL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78752",
"telephone_number": "512-371-0978",
"fax_number": "512-371-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHERTON",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "11976",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.