Eswar Keran Chandra Damodara, BDS., MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

29259 Issued in TX

Practice address

801 E William Cannon Dr Ste 201
Austin, TX 78745-6671

Phone

(405) 271-5714

NPI assigned

Jan 22, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Access Dental of William Cannon PA

  • Dentist
  • Austin, TX
  • NPI 1700157955
  NPD

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1124441530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WILLIAM CANNON DR STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456671",
            "telephone_number": "512-717-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WILLIAM CANNON DR STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456671",
            "telephone_number": "405-271-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMODARA",
        "first_name": "ESWAR KERAN",
        "middle_name": "CHANDRA",
        "credential": "BDS., MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-22",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "29259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shay E Dam-Erickson, MA, LPC
• Diana Elaine Damer, PH.D.
• Susan Dametz
• Faith Damico, CF-SLP
• Diane Damitio
• Caroline Damon
• Liliana Damron, MSN, APRN, FNP-BC
• Dan E McQueen, O.D., P.C.
• Whitney Dana
• Dancer'S Choice Physical Therapy, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.