P Praxis·MD
● Active Type 2 · Organization

Austin Central Park Pediatric Dentistry

Dentist·Austin, TX· NPI 1639597222 · Enumerated 2014 · 12 years on NPI
Austin Central Park Pediatric Dentistry is 1 of 1797 dentist organizations in Texas.
NPI age
12 years
Enumerated 2014-04-01
Primary specialty
Dentist
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Owner/dentist
Last NPPES update
2024-10-21
Source: monthly bulk 2026-05

How this organization compares

Across 1797 active dentist providers in Texas.

NPI age
12 years
↓ 2 yr below median
Practice locations
3
2 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
1005 W 38th St Ste 200
Austin, TX 787051042
📞 5123304624
Mailing address
1005 W 38th St Ste 200
Austin, TX 787051042
📞 5123304624

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
13341 W Us 290, Building 1-106
Austin, TX 78737
📞 5123304624fax 5123304653
Location 3
4308 N Quinlan Park Rd Ste 201
Austin, TX 787326071
📞 5123304624fax 5125834653

Authorized official

Daniel Crandall Johnson, DDS
Owner/dentist
📞 5123304624

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    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.
    TX license #28784 taxonomy 1223P0221X

Identifiers

TypeValueNotes
01 1619250123 INDIVIDUAL NPI
05 (TX) 3194185-03

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Central Park Pediatric Dentistry
    Type code 3 recorded 2024-10-21
  • Central Park Pediatric Dentistry
    Type code 3 recorded 2024-10-15

Practice context

Multi-provider organization. 2 individual providers on file at this primary address. Plus 2 secondary practice locations.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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