Bryan A Austin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AR3057 Issued in AR

Practice address

3201 Club Manor Dr Ste a
Maumelle, AR 72113-6082

Phone

(501) 851-3262

Fax

(501) 851-3766

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

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

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.

• Austin Family Dentistry PA

  • Dentist
  • Maumelle, AR
  • NPI 1255415956
  Authorized official Same address or phone

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1336306869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CLUB MANOR DR STE A",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136082",
            "telephone_number": "501-851-3262",
            "fax_number": "501-851-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CLUB MANOR DR STE A",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136082",
            "telephone_number": "501-851-3262",
            "fax_number": "501-851-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "BRYAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR3057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58662",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "828326",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arkansas Reliable Transportation LLC
• David Arnold
• Mary Helen Ashley, M.S. CCC-SLP
• Omar Atassi
• Austin Family Dentistry PA
• Jalesia Austin, APRN
• Balentine Medical Services, PLLC
• BCC Maumelle Operations, LLC (Elmcroft of Maumelle)
• Amy Lynn Beard, M.D.
• Savannah Bell, DO

• General Practice Dentistry in Maumelle, AR
• Providers in Maumelle, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.