Individual provider Active NPI

Dawn C Buckingham, MD

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1346241122
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K5467 Issued in TX
Practice address
5011 Burnet Rd
Austin, TX 78756-2611
Phone
(512) 583-2020
Fax
(512) 744-2020
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K5467 TX Primary

Addresses

Primary practice location

5011 Burnet Rd
Austin, TX 78756-2611

Mailing address

5011 Burnet Rd
Austin, TX 78756-2611
Phone (512) 583-2020

Other identifiers 4

IdentifierTypeStateIssuer
7133287OtherAETNA
4233226OtherBLUE LINK
P00142435OtherRAILROAD MEDICARE
8M5280OtherBC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329000793 TX Practitioner - Ophthalmology 1052203536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K5467TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Austin P a Ophthalmology CurrentSince Apr 1, 2004 Accepting new patients
Albany Eye Physicians and Surgeons PC Ophthalmology PastSince Jul 1, 1996 Accepting new patients

Locations

5011 Burnet Rd
Austin, TX 78756
Phone (512) 454-8744

Organizations & group practices 2

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1346241122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 BURNET RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562611",
            "telephone_number": "512-583-2020",
            "fax_number": "512-744-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 BURNET RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562611",
            "telephone_number": "512-583-2020",
            "fax_number": "512-744-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "DAWN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K5467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7133287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "4233226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00142435",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "8M5280",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.