Active NPI
Kevin Thomas Deutsch, DDS
- Dentist
- Austin, TX
National Provider Identifier
1073793246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25628
- Practice address
- 8118 Shoal Creek Blvd
Austin, TX 78757-8041 - Phone
- (512) 452-8262
- NPI assigned
- Nov 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56440 | CA | |
| Dentist | 122300000X | 25628 | TX | Primary |
Addresses
Primary practice location
8118 Shoal Creek Blvd
Austin, TX 78757-8041
Mailing address
8118 Shoal Creek Blvd
Austin, TX 78757-8041
Phone (512) 452-8262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56440 | CA | MD | Dentist |
| 25628 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pecan Street Dental | Dentist | Current | Accepting new patients |
| 8118 Dental Professionals PLLC | Dentist | Current | Accepting new patients |
| Tana M Busch DDS PLLC | Past | Accepting new patients |
Locations
8118 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 452-8262
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Bastrop, TX
- NPI 1558813030
-
- General Practice Dentistry
- Austin, TX
- NPI 1306954839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1073793246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8118 SHOAL CREEK BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787578041",
"telephone_number": "512-452-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 SHOAL CREEK BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787578041",
"telephone_number": "512-452-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUTSCH",
"first_name": "KEVIN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-05",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56440",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.