Organization Active NPI

Great American Smiles, PC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1932585890
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26342 Issued in TX
Legal business name
GREAT AMERICAN SMILES, PC
Practice address
11615 Angus Rd Ste 116
Austin, TX 78759-4065
Phone
(512) 345-9995
Fax
(512) 340-9229
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. M Caroline Jones, D.M.D.NPI 1578867636
Title
Chief Smile Maker
Phone
(512) 820-6146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 26342 TX Primary

Addresses

Primary practice location

11615 Angus Rd Ste 116
Austin, TX 78759-4065

Mailing address

11615 Angus Rd Ste 116
Austin, TX 78759-4065
Phone (512) 345-9995

National Provider Directory

National Provider Directory

Locations

11615 Angus Rd
Ste 116
Austin, TX 78759
Phone (512) 345-9995

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1932585890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 116",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594065",
            "telephone_number": "512-345-9995",
            "fax_number": "512-340-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 116",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594065",
            "telephone_number": "512-345-9995",
            "fax_number": "512-340-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT AMERICAN SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "CHIEF SMILE MAKER",
        "authorized_official_telephone_number": "512-820-6146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26342",
            "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 Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.