Active NPI
Eamon Bizra, DDS MPH
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1073978268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31517
- Practice address
- 9225 W Parmer LN Ste 104
Austin, TX 78717-4694 - Phone
- (512) 955-5500
- Fax
- (512) 955-5600
- NPI assigned
- Dec 15, 2015
- Last updated
- Mar 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31517 | TX | Primary |
Addresses
Primary practice location
9225 W Parmer LN Ste 104
Austin, TX 78717-4694
Mailing address
3809 Empire CV
Leander, TX 78641-3480
Phone (512) 400-5111
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 |
|---|---|---|---|
| 31517 | TX | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dental Standard | General Practice | Current | Accepting new patients |
Locations
9225 W Parmer Ln
Ste 104
Austin, TX 78717
Phone (512) 955-5500
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1073978268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 EMPIRE CV",
"city": "LEANDER",
"state": "TX",
"postal_code": "786413480",
"telephone_number": "512-400-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 W PARMER LN STE 104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787174694",
"telephone_number": "512-955-5500",
"fax_number": "512-955-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIZRA",
"first_name": "EAMON",
"name_prefix": "Dr.",
"credential": "DDS MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-15",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31517",
"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 Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.