Individual provider Active NPI

Bethany Ann Rawlinson, DDS

  • Dentist
  • Georgetown, TX
National Provider Identifier
1215822853
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41527 Issued in TX
Practice address
2411 Williams Dr Ste 111
Georgetown, TX 78628-3268
Phone
(877) 800-5722
NPI assigned
Jun 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Dentist 122300000X 41527 TX Primary

Addresses

Primary practice location

2411 Williams Dr Ste 111
Georgetown, TX 78628-3268

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

20172 US Highway 59 Ste B
New Caney, TX 77357-5084
Phone (832) 604-3518

Other practice location 2

245 I 45 N Ste D
Huntsville, TX 77320-4959
Phone (936) 755-1324

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260513003753 TX Practitioner - Dentist 8729557202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Texas HSC at Houston School of Dentistry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2423 Williams Dr
Suite 107
Georgetown, TX 78628-3269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41527TXMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1215822853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 WILLIAMS DR STE 111",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283268",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20172 US Highway 59 Ste B",
            "address_purpose": "LOCATION",
            "city": "New Caney",
            "state": "TX",
            "postal_code": "773575084",
            "country_code": "US",
            "telephone_number": "832-604-3518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 I 45 N Ste D",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773204959",
            "country_code": "US",
            "telephone_number": "936-755-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWLINSON",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.