Individual provider Active NPI

Austin David Drewyer, DDS

  • General Practice Dentistry
  • Burtonsville, MD
National Provider Identifier
1235581778
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16026 Issued in MD
Practice address
4009 Sandy Spring Rd Ste 201
Burtonsville, MD 20866-1122
Phone
(301) 622-1717
NPI assigned
Jul 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16026 MD Primary

Addresses

Primary practice location

4009 Sandy Spring Rd Ste 201
Burtonsville, MD 20866-1122

Mailing address

4009 Sandy Spring Rd Ste 201
Burtonsville, MD 20866-1122
Phone (301) 622-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16026MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Austin D. Drewyer L.L.C. General Practice CurrentSince Sep 20, 2022 Accepting new patients

Locations

4009 Sandy Spring Rd
Ste 201
Burtonsville, MD 20866
Phone (301) 622-1717

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

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1235581778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 SANDY SPRING RD STE 201",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661122",
            "telephone_number": "301-622-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 SANDY SPRING RD STE 201",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661122",
            "telephone_number": "301-622-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWYER",
        "first_name": "AUSTIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.