OrganizationActive
Austin Modern Dentistry, PC
NPI 1174829162 · General Practice Dentistry · Austin, TX
Provider details
- NPI number
- 1174829162
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Barnes, Contracts Admin(512) 892-0817
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3601 W William Cannon Dr Bldg 4
Austin, TX 78749-1533
Phone: (512) 892-0817
Fax: (512) 899-2111
Street-level locationGet directions
Mailing address
2860 Michelle Fl 2
Irvine, CA 92606-1008
Other names (DBA / former)
- Doing business as
- Austin Modern Dentistry
Registry dates
- Enumerated
- 2011-02-08
- Last updated
- 2011-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.