Individual provider Active NPI

David Douglass Nolen, M.D.

  • Facial Plastic Surgery Physician
  • Austin, TX
National Provider Identifier
1427219278
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
Q5881 Issued in TX
Practice address
3705 Medical Pkwy Ste 320
Austin, TX 78705-1023
Phone
(512) 454-0392
Fax
(512) 454-1233
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Q5881 TX
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X Q5881 TX
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X Q5881 TX
Facial Plastic Surgery Physician 207YS0123X Q5881 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy Ste 320
Austin, TX 78705-1023

Mailing address

3705 Medical Pkwy Ste 320
Austin, TX 78705-1023
Phone (512) 454-0392

Other practice location 1

4515 Seton Center Pkwy Ste 100
Austin, TX 78759-5268
Phone (512) 346-5562

Other practice location 2

4315 James Casey St Ste 300
Austin, TX 78745-3364
Phone (512) 444-7944

Other practice location 3

5625 Eiger Rd Ste 125
Austin, TX 78735-8979
Phone (512) 600-8090

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220000881 TX Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 7012159585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3705 Medical Pkwy
Suite 320
Austin, TX 78705-1023
Phone (512) 454-0392

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q5881TXMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler & Burns Ear Nose & Throat Associates Otolaryngology CurrentSince May 1, 2022 Accepting new patients
Butler & Burns Ear Nose & Throat Associates Otolaryngology CurrentSince May 1, 2022 Accepting new patients

Locations

5625 Eiger Rd
Ste 125
Austin, TX 78735
Phone (512) 600-8090

4515 Seton Center Pkwy
Ste 100
Austin, TX 78759
Phone (512) 346-5562

3705 Medical Pkwy
Ste 320
Austin, TX 78705
Phone (512) 454-0392

4315 James Casey St
Ste 300
Austin, TX 78745
Phone (512) 444-7944

441 Highway 71 W
Ste H
Bastrop, TX 78602
Phone (512) 304-0338

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1180 Seton Pkwy
Ste 420
Kyle, TX 78640
Phone (512) 268-5282

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1427219278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023",
            "telephone_number": "512-454-0392",
            "fax_number": "512-454-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023",
            "telephone_number": "512-454-0392",
            "fax_number": "512-454-1233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Seton Center Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595268",
            "country_code": "US",
            "telephone_number": "512-346-5562",
            "fax_number": "512-346-8846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4315 James Casey St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787453364",
            "country_code": "US",
            "telephone_number": "512-444-7944",
            "fax_number": "512-444-7946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5625 Eiger Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358979",
            "country_code": "US",
            "telephone_number": "512-600-8090",
            "fax_number": "512-899-2932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "DAVID",
        "middle_name": "DOUGLASS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "Q5881",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "Q5881",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "Q5881",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "Q5881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.