Active NPI
Brett Munro Strong, D.D.S.
- Endodontics
- Austin, TX
National Provider Identifier
1417163080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 22545
- Practice address
- 8201 Monona Ave
Austin, TX 78717-5329 - Phone
- (512) 608-3789
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 22545 | TX | Primary |
Addresses
Primary practice location
8201 Monona Ave
Austin, TX 78717-5329
Mailing address
8201 Monona Ave
Austin, TX 78717-5329
Phone (512) 608-3789
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151005002285 | TX | Order and Referring Only - Dentist | 2264740653 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1417163080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 MONONA AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787175329",
"telephone_number": "512-608-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 MONONA AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787175329",
"telephone_number": "512-608-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRONG",
"first_name": "BRETT",
"middle_name": "MUNRO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "22545",
"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 Jun 22, 2015; 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.