Individual provider Active NPI

Dustin James Boling, ATP

  • Other Technician
  • Austin, TX
National Provider Identifier
1356624738
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
44298 Issued in NU
Practice address
7801 N Lamar Blvd
Suite C-65
Austin, TX 78752-1016
Phone
(512) 476-0500
Fax
(512) 462-0110
NPI assigned
Sep 22, 2011
Last updated
Sep 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 44298 NU Primary
Assistive Technology Practitioner Rehabilitation Counselor 225CA2400X ATP 44298 NU
Assistive Technology Supplier Rehabilitation Counselor 225CA2500X ATP 44298 NU

Addresses

Primary practice location

7801 N Lamar Blvd
Suite C-65
Austin, TX 78752-1016

Mailing address

7801 N Lamar Blvd
Suite C-65
Austin, TX 78752-1016
Phone (512) 476-0500

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

Practice roles

OrganizationSpecialtyStatusNew patients
R Martin Limited Company Past Accepting new patients

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": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1356624738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD",
            "address_2": "SUITE C-65",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521016",
            "telephone_number": "512-476-0500",
            "fax_number": "512-462-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD",
            "address_2": "SUITE C-65",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521016",
            "telephone_number": "512-476-0500",
            "fax_number": "512-462-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "DUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "ATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": "44298",
            "primary": true
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "NU",
            "license": "ATP 44298",
            "primary": false
        },
        {
            "code": "225CA2500X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": "NU",
            "license": "ATP 44298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.