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CENTRAL PARK PEDIATRIC DENTISTRY
NPI 1639597222
Dentist - Pediatric Dentistry in Austin, TX

Active since April 01, 2014
1005 W 38TH ST STE 200, AUSTIN, TX 78705(512) 330-4624 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Park Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL PARK PEDIATRIC DENTISTRY (NPI 1639597222) is a healthcare organization registered as a pediatric dentistry in Austin, Texas and active in the NPI registry since April 2014. The organization maintains 2 additional practice locations and lists Daniel Crandall Johnson, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1639597222
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameAUSTIN CENTRAL PARK PEDIATRIC DENTISTRY
Location Address1005 W 38TH ST STE 200Austin, TX 78705-1042
Mailing Address1005 W 38th St Ste 200Austin, TX 78705-1042 · (512) 330-4624
Phone(512) 330-4624
Organization SubpartNo
Authorized OfficialDaniel Crandall JohnsonOwner/dentist · (512) 330-4624
Enumeration DateApril 1, 2014
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1639597222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 28784
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1005 W 38TH ST STE 200, Austin, TX 78705
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Other Names 1

Doing Business AsCentral Park Pediatric Dentistry

Secondary Practice Locations 2

Location 14308 N Quinlan Park Rd Ste 201Austin, TX 78732-6071 · Phone (512) 330-4624 · Fax (512) 583-4653
Location 213341 W US 290, Building 1-106Austin, TX 78737 · Phone (512) 330-4624 · Fax (512) 330-4653

Other Identifiers 2

Other1619250123Individual Npi
Medicaid3194185-03TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA ROBUS DDS
Dentist (Pediatric Dentistry)
1005 W 38TH ST STE 200
AUSTIN, TX 78705
Travis County (512) 330-4624
DR. DANIEL C JOHNSON DDS
Dentist (Pediatric Dentistry)
1005 W 38TH ST STE 200
AUSTIN, TX 78705
Travis County (512) 330-4624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Austin Central Park Pediatric Dentistry's NPI number?

The NPI number for Austin Central Park Pediatric Dentistry is 1639597222. It was assigned to this organization in the NPPES registry on April 1, 2014. The provider is doing business as Central Park Pediatric Dentistry.

Where is Austin Central Park Pediatric Dentistry located?

Austin Central Park Pediatric Dentistry is located at 1005 W 38th St Ste 200, Austin, TX 78705. The listed phone number is (512) 330-4624.

What is Austin Central Park Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Austin Central Park Pediatric Dentistry was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.