Organization Active NPI

B&P Dental Ventures PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1063934263
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
363097201MedicaidTX
32051OtherTXTEXAS DENTAL LICENSE

Other names 1

  • Vida Dental Central Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.