Marcin Bednarski, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

32051 Issued in TX

Practice address

1901 W William Cannon Dr
#143
Austin, TX 78745-5371

Phone

(512) 444-4867

NPI assigned

May 9, 2016

Last updated

Mar 23, 2017By the provider in NPPES

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

Enrolled in TX

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B&P Dental Entities LLC

  • Dental Clinic/Center
  • Austin, TX
  • NPI 1578019329
  NPD (past) Authorized official

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1194171181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 DUVAL ST",
            "address_2": "UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512039",
            "telephone_number": "602-628-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W WILLIAM CANNON DR",
            "address_2": "#143",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455371",
            "telephone_number": "512-444-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNARSKI",
        "first_name": "MARCIN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32051",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Allen Beddingfield, ACNS-BC
• Sarah Eve Beddingfield, LCSW
• Alison Beddoes
• Theodore M. Bedillion, M.D.
• Grace L Bednar, M.D.
• John P Bedolla, M.D.
• Lisa M. Bedore, M.A., PHD
• Sami Joseph Bedri, M.D.
• Bee Cave Family Chiropractic, LLC (Bee Cave Family Chiropractic)
• Bee Cave Integrative LLC (Alive and Well Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.