Active NPI
Southpark Smiles,PC
- General Practice Dentistry
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SOUTHPARK SMILES,PC
- Practice address
- 9500 S Interstate 35
Suite E-400
Austin, TX 78748-1752 - Phone
- (512) 282-7200
- NPI assigned
- Oct 6, 2008
- Last updated
- Oct 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jackson Robert Booth, D.D.S.
- Title
- Dentist
- Phone
- (512) 739-9440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
9500 S Interstate 35
Suite E-400
Austin, TX 78748-1752
Mailing address
1603 Nash Ave
Austin, TX 78704-3331
National Provider Directory
National Provider Directory- Tax ID family
- Eastside Smiles
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Austin, TX
- NPI 1891987368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223251200000",
"number": "1922259266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 NASH AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787043331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 S INTERSTATE 35",
"address_2": "SUITE E-400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787481752",
"telephone_number": "512-282-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHPARK SMILES,PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A",
"authorized_official_last_name": "BOOTH",
"authorized_official_first_name": "JACKSON",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "512-739-9440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Southern Care Inc (Southern Care Austin)
- Southern Home Care Services
- Southern Home Care Services, Inc.
- Southpark Austin Dental PLLC (River Rock Dental)
- Southpark Smiles, PC (Eastside Smiles)
- Alexis N Southwell
- Southwest Austin Foot & Ankle Clinic, PLLC
- Southwest Austin Foot & Ankle Clinic, PLLC
- Southwest Bariatric Surgeons PLLC
- Southwest Behavioral Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.