Bethany L Redmond, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

37994 Issued in TX

Practice address

11671 FM 2154 Rd Ste 400
College Station, TX 77845-4796

Phone

(979) 399-5101

NPI assigned

Jul 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crawford Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1619191764
  NPD (past)

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1417434820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 BRIDGEWOOD CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11671 FM 2154 RD STE 400",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454796",
            "telephone_number": "979-399-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 N Earl Rudder Fwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778022930",
            "country_code": "US",
            "telephone_number": "979-307-6875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "BETHANY",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37994",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37994",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RDD Dev LLC
• Ryan Christopher Reader, MSN, APRN, NNP-BC
• Angie Ableen Realegeno-Arellano, DC
• Rebecca Putna Counseling LLC
• Recalibrate Osteopractic & Wellness, PLLC
• Ann Marie Reed, M.D.
• Lindsey Renee Reed, APRN, NP-C, ACNPC-AG
• Gary Wayne Reedy Jr., PA-C
• Erin M Reeh, PTA
• Regional Employee Assistance Program Inc

• Dentist in College Station, TX
• Providers in College Station, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.