Active NPI
Judith Lorraine Austin, D.M.D.
- Periodontics
- Rockville, MD
National Provider Identifier
1932305422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- MD9092
- Practice address
- 11400 Rockville Pike Ste 510
Rockville, MD 20852-3041 - Phone
- (301) 881-5500
- Fax
- (301) 881-5517
- NPI assigned
- Jun 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | MD9092 | MD | Primary |
Addresses
Primary practice location
11400 Rockville Pike Ste 510
Rockville, MD 20852-3041
Mailing address
12027 Montrose Village Ter
Rockville, MD 20852-4162
Phone (301) 881-5500
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 |
|---|---|---|---|
| MD9092 | MD | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932305422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12027 MONTROSE VILLAGE TER",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524162",
"telephone_number": "301-881-5500",
"fax_number": "301-881-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11400 ROCKVILLE PIKE STE 510",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523041",
"telephone_number": "301-881-5500",
"fax_number": "301-881-5517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "JUDITH",
"middle_name": "LORRAINE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "MD9092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
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.