Active NPI
Roger E Austin, DDS, PA
Doing business as Foley Dental Clinic
- General Practice Dentistry
- Coon Rapids, MN
National Provider Identifier
1932399557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 07057
- Legal business name
- ROGER E AUSTIN, DDS, PA
- Doing business as
- Foley Dental Clinic
- Practice address
- 11237 Foley Blvd NW
Coon Rapids, MN 55448-3389 - Phone
- (763) 757-3120
- Fax
- (763) 757-5161
- NPI assigned
- Jul 30, 2007
- Last updated
- Jul 30, 2007
- 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. Roger E Austin, D.D.S.
- Title
- President/Owner
- Phone
- (763) 757-3120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 07057 | MN | Primary |
Addresses
Primary practice location
11237 Foley Blvd NW
Coon Rapids, MN 55448-3389
Mailing address
11237 Foley Blvd NW
Coon Rapids, MN 55448-3389
Phone (763) 757-3120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154311181 | Other | MN | NPI ENUMERATOR FOR DAVID |
| 1184614117 | Other | MN | NPI ENUMERATOR FOR ROGER |
Other names 1
- Foley Dental Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Foley Dental Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Ramsey Dental Center
- General Practice Dentistry
- Ramsey, MN
- NPI 1225229503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185753600000",
"number": "1932399557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11237 FOLEY BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554483389",
"telephone_number": "763-757-3120",
"fax_number": "763-757-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11237 FOLEY BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554483389",
"telephone_number": "763-757-3120",
"fax_number": "763-757-5161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER E AUSTIN, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "763-757-3120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "07057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI ENUMERATOR FOR DAVID",
"identifier": "1154311181",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI ENUMERATOR FOR ROGER",
"identifier": "1184614117",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Foley Dental Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.