Individual provider Active NPI

Christopher Bryer Adams, DDS

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1093336109
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
39198 Issued in TX
Practice address
3755 S Capital of Texas Hwy Ste 292
Austin, TX 78704-7908
Phone
(512) 892-0013
NPI assigned
Apr 29, 2020
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 39198 TX Primary

Addresses

Primary practice location

3755 S Capital of Texas Hwy Ste 292
Austin, TX 78704-7908

Mailing address

3755 S Capital of Texas Hwy Ste 292
Austin, TX 78704-7908
Phone (515) 892-0013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200723003195 NC Order and Referring Only - DentistPractitioner - Dentist 6204250137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39198TXMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1093336109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 S CAPITAL OF TEXAS HWY STE 292",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047908",
            "telephone_number": "515-892-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 S CAPITAL OF TEXAS HWY STE 292",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047908",
            "telephone_number": "512-892-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRYER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "39198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.