BLUE SKY FAMILY DENTISTRY (NPI# 1679071633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679071633 |
| Entity Type | Organization |
| Organization Name | BLUE SKY FAMILY DENTISTRY |
| Practice Address |
5915 La Crosse Ave Ste 105 Austin TX 78739-1747 |
| Mailing Address |
1905 Crooked Ln Austin TX 78741-3907 |
| Practice Telephone | 9197405096 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | BEN CORPRON (OWNER) |
| Authorized Official Telephone | 9197405096 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
33478 | TX | Ambulatory Health Care Facilities |
| Street Address |
5915 LA CROSSE AVE STE 105 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78739-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457727463 | Ben Michael Corpron | Dentist | 5915 La Crosse Ave Ste 105, Austin, TX 78739-1747 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871002188 | Cole Stutz | Physical Therapist | 5401 La Crosse Ave., Building C, Suite 101, Austin, TN 78739 | 2017-09-29 |
| 1346796992 | Amanda Sylvie | Dietitian, Registered | 6604 Nusser Ln, Austin, TX 78739 | 2016-09-01 |
| 1609259431 | Marjan Aryannejad | Pharmacist | 10805 Tollesboro Cove, Austin, TX 78739 | 2015-06-29 |
| 1780071563 | Lauren Vaughn | Counselor | 11228 South Bay Lane, Austin, TX 78739 | 2015-04-20 |
| 1649552860 | Purvi Patel | Pharmacist | 12212 Tuberose Ter, Austin, TX 78739 | 2011-09-14 |
| 1780915124 | Stephanie Ann Etie | Behavioral Analyst | 5924 Rickerhill Ln, Austin, TX 78739 | 2010-01-25 |
| 1972724730 | Qiao Xu | Acupuncturist | 11236 South Bay Lane, Austin, TX 78739 | 2007-05-01 |
| 1740382084 | Ferril Chris Smith | Internal Medicine | 4104 Reynosa Dr, Austin, TX 78739 | 2006-09-05 |
| 1295235992 | Sally Elizabeth Stroud | Registered Nurse | 6405 Back Bay Ln, Austin, TX 78739-1402 | 2018-02-19 |
| 1982262317 | Adrienne Lee Wiggins | Registered Nurse | 6407 Old Harbor Ln, Austin, TX 78739-1405 | 2019-05-31 |
| Find all providers in zip 78739 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1407473101 | Kamel Elhosary | Clinic/Center | 1221 W Ben White Blvd Ste 212a, Austin, TX 78704-7002 | 2020-06-29 |
| 1811524861 | Regina Yunusov Dds, Pllc | Clinic/Center | 4419 Frontier Trl Ste 104, Austin, TX 78745-1567 | 2020-03-26 |
| 1407496474 | Kathryn James Ventures | Clinic/Center | 12335 Hymeadow Dr Ste 200, Austin, TX 78750-1935 | 2020-01-08 |
| 1508406513 | Valencia Smiles Pllc | Clinic/Center | 911 W Anderson Ln Ste 115, Austin, TX 78757-1562 | 2020-01-08 |
| 1720625106 | Joowon Cho Dds Pllc | Clinic/Center | 10700 Anderson Mill Rd Ste 300, Austin, TX 78750-2402 | 2019-12-05 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1063065472 | Ws Dental | Clinic/Center | 6801 S Ih 35 Ste 1-d, Austin, TX 78744-4824 | 2019-07-24 |
| 1649823253 | Rayne Sleep Solutions LLC | Clinic/Center | 1221 W Ben White Blvd Ste 112a, Austin, TX 78704-6888 | 2019-07-23 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.