Andrew David Verrett, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

25482 Issued in TX

Practice address

7800 N Mopac Expy
Austin, TX 78759-8900

Phone

(512) 346-6097

NPI assigned

Jun 2, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Austin Periodontal Associates Inc

  • Periodontics
  • Austin, TX
  • NPI 1720195498
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1093035966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N MOPAC EXPY STE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598961",
            "telephone_number": "512-346-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598900",
            "telephone_number": "512-346-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRETT",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0025482",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "25482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omesh Verma, MD
• Saachi Verma
• Lexxus Marie Vernon
• Marilyn Danielle Vernon, P.T.
• Montgomery Verona, M.D.
• Louanne Roberts Verrier, FNP-BC
• Sara Jane Vershaw, PHARM.D.
• Vert-Align PLLC
• Vertrees Headache Center, PLLC
• Stephanie Michael Vertrees, M.D.

• Periodontics in Austin, TX
• Providers in Austin, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.