NPIMap

Organization Active NPI

Bridge Dental Associates, PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1386147502
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIDGE DENTAL ASSOCIATES, PLLC
Practice address
13616 N Highway 183 Unit B
Austin, TX 78750-2312
Phone
(512) 600-3535
NPI assigned
Mar 14, 2018
Last updated
Mar 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Brian J. Peters, DDS
Title
Owner
Phone
(512) 600-3535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X TX Primary

Addresses

Primary practice location

13616 N Highway 183 Unit B
Austin, TX 78750-2312

Mailing address

13616 N Highway 183 Unit B
Austin, TX 78750-2312
Phone (512) 600-3535

National Provider Directory

National Provider Directory

Locations

13616 N Highway 183
Unit B
Austin, TX 78750
Phone (512) 600-3535

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1386147502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13616 N HIGHWAY 183 UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502312",
            "telephone_number": "512-600-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13616 N HIGHWAY 183 UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502312",
            "telephone_number": "512-600-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-600-3535",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 14, 2018; 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.