Active NPI
B&P Dental Ventures PLLC
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1063934263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- B&P DENTAL VENTURES PLLC
- Practice address
- 711 W 38TH St Ste B10
Austin, TX 78705-1135 - Phone
- (512) 454-5825
- NPI assigned
- Jul 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcin Bednarski, DMD
- Title
- Owner
- Phone
- (512) 454-5825
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
711 W 38TH St Ste B10
Austin, TX 78705-1135
Mailing address
711 W 38TH St Ste B10
Austin, TX 78705-1135
Phone (512) 454-5825
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363097201 | Medicaid | TX | |
| 32051 | Other | TX | TEXAS DENTAL LICENSE |
Other names 1
- Vida Dental Central
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1063934263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W 38TH ST STE B10",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051135",
"telephone_number": "512-454-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 38TH ST STE B10",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051135",
"telephone_number": "512-454-5825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B&P DENTAL VENTURES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-10",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BEDNARSKI",
"authorized_official_first_name": "MARCIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-454-5825",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363097201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DENTAL LICENSE",
"identifier": "32051",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vida Dental Central",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.