Individual provider Active NPI

Sara Huizinga Gowin, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1992854632
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20600 Issued in TX
Practice address
1144 Airport Blvd
240
Austin, TX 78702-3163
Phone
(512) 929-7888
Fax
(512) 929-8091
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20600 TX Primary

Addresses

Primary practice location

1144 Airport Blvd
240
Austin, TX 78702-3163

Mailing address

5217 Bandera Creek TRL
Austin, TX 78735-6462
Phone (512) 929-7888

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

LicenseStateTypeSpecialty
20600TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shane Istre Dental Associates General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992854632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 BANDERA CREEK TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356462",
            "telephone_number": "512-929-7888",
            "fax_number": "512-929-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 AIRPORT BLVD",
            "address_2": "240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023163",
            "telephone_number": "512-929-7888",
            "fax_number": "512-929-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWIN",
        "first_name": "SARA",
        "middle_name": "HUIZINGA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20600",
            "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 9, 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.

Verify at the official NPI Registry.