THE AUSTIN DENTIST, PLLC NPI 1538507181

Dentist in Austin, TX

NPI 1538507181 Organization Dentist CLIA Number 45D0505481 CLIA Certificate of Compliance

About THE AUSTIN DENTIST, PLLC

The Austin Dentist, Pllc is a provider established in Austin, Texas specializing in dentist. The NPI number of The Austin Dentist, Pllc is 1538507181 and was assigned on June 2013. The practitioner's primary taxonomy code is 122300000X with license number 21136 (TX). The provider is registered as an organization and their NPI record was last updated 9 years ago. The Austin Dentist, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Matthew Horne Dds (Dr. Horne)

A dentist like The Austin Dentist, Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

The CLIA number of The Austin Dentist, Pllc is 45D0505481 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to The Austin Dentist, Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1538507181

Provider NameTHE AUSTIN DENTIST, PLLC
Provider Location Address5701 W SLAUGHTER LN SUITE B120 AUSTIN, TX 78749
Provider Mailing Address5701 W SLAUGHTER LN SUITE B120 AUSTIN, TX 78749
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-05-2013
Last Update Date06-05-2013


Primary Taxonomy

Taxonomy Code122300000X
ClassificationDentist
TypeDental Providers
License No.21136
License StateTX
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Business Address

THE AUSTIN DENTIST, PLLC
5701 W SLAUGHTER LN
SUITE B120
AUSTIN, TX
ZIP 78749
Phone: (512) 467-4722
Fax: (512) 467-4768

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Mailing Address

THE AUSTIN DENTIST, PLLC
5701 W SLAUGHTER LN
SUITE B120
AUSTIN, TX
ZIP 78749
Phone: (512) 467-4722
Fax: (512) 467-4768



Authorized Official

Authorized Official NameDR. MATTHEW HORNE DDS
Authorized Official TitleDR. HORNE
Authorized Official Phone(512) 467-4722

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1538507181 is:

CLIA Number45D0505481
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1122300000XDental ProvidersDentist24632TXNo

Taxonomy Description: a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2124Q00000XDental ProvidersDental Hygienist16782TXNo

Taxonomy Description: an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

3124Q00000XDental ProvidersDental Hygienist16813TXNo

Taxonomy Description: an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144289034DR. ERICA C. MOELLER MD
Individual
Family Medicine5701 W SLAUGHTER LN
AUSTIN, TX 78749
(512) 901-4031
1003013301DR. VALERIE MARIANA SANTIAGO-DOYLE DDS
Individual
Dentist5701 W SLAUGHTER LN SUITE B120
AUSTIN, TX 78749
(512) 467-4722
1518345057AUSTIN ONCALL EM PHYSICIANS PLLC
Organization
Emergency Medicine5701 W SLAUGHTER LN BLDG G
AUSTIN, TX 78749
(512) 651-5787
1801272372 ERIN JOHNSON CPNP
Individual
Nurse Practitioner (Pediatrics)5701 W SLAUGHTER LN BLDG C
AUSTIN, TX 78749
(512) 334-2504
1821268798DR. GEORGE J MUNDANTHANAM M.D.
Individual
Orthopaedic Surgery5701 W SLAUGHTER LN A130-442
AUSTIN, TX 78749
(512) 301-4263
1669484226DR. NATASHA L DEWALD AUD
Individual
Audiologist-Hearing Aid Fitter5701 W SLAUGHTER LN STE A130-227
AUSTIN, TX 78749
(512) 956-4327
1285181107HEARS TO YOU, PLLC
Organization
Audiologist-Hearing Aid Fitter5701 W SLAUGHTER LN STE A130-227
AUSTIN, TX 78749
(512) 956-4327
1083236376SOUTH AUSTIN EMERGENCY CENTER, LLC
Organization
Emergency Medicine5701 W SLAUGHTER LN
AUSTIN, TX 78749
(832) 699-3777
1770598831MISS NADEEN W GRAY MD
Individual
Family Medicine5701 W SLAUGHTER LN BLDG. C
AUSTIN, TX 78749
(512) 901-4031

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.