Anthony D. Bain, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

17175 Issued in TX

Practice address

619 Heatherwilde Blvd
Pflugerville, TX 78660-5322

Phone

(512) 989-6900

Fax

(512) 989-6901

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Small Smiles-Dentistry for Children

  dba Smile Dental Patrol, PA

  • Dental Clinic/Center
  • Pflugerville, TX
  • NPI 1376735019
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205858933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 HEATHERWILDE BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605322",
            "telephone_number": "512-989-6900",
            "fax_number": "512-989-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 HEATHERWILDE BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605322",
            "telephone_number": "512-989-6900",
            "fax_number": "512-989-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "ANTHONY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "17175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Ayala Jr.
• Ayla Bridges LMFT PLLC (Bridges CBT)
• B & J Family Care Services
• Bachler Chiropractic PLLC
• Kelsey Bailey, PHARMD
• Theresa Orekha Bakare, CAA
• Russell Edward Baker, DC
• Aishwarya Balaji
• Lakshmi Priya Balaraman, DDS
• Noemi Balderas

• Pediatric Dentistry in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.