Brush 32 Dental of Belterra, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRUSH 32 DENTAL OF BELTERRA, PLLC

Doing business as

Ideal Dental Belterra

Practice address

165 Hargraves Dr Ste M200
Austin, TX 78737-4811

Phone

(512) 758-8655

Fax

(512) 852-5936

NPI assigned

Sep 26, 2017

Last updated

May 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sulman Ahmed, DMD

Title

Owner

Phone

(972) 331-8079

Specialties & licenses 1

Addresses

Other names 1

• Ideal Dental Belterra Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalie Marie Mosier, DDS

  • Dentist
  • Austin, TX
  • NPI 1194378091
  NPD

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1386153963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925",
            "telephone_number": "972-361-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 HARGRAVES DR STE M200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374811",
            "telephone_number": "512-758-8655",
            "fax_number": "512-852-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH 32 DENTAL OF BELTERRA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Dental Belterra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirsten A Brunner, MA, LPC
• Jill M Bruno-Enright, MSW
• Candace Lauren Bruno, DMD
• Jeffery Royce Brunson, DDS
• Camilla Bright Brusenhan
• Brush Dental Domain PC (Swish Dental Downtown)
• Brush Dental Domain PC (Floss Dental)
• Brush Dental South, PC (Swish Dental)
• Robyn Brush, LAC
• Brush32 Dental of South Congress PLLC

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.