Organization Active NPI

Devenir Aesthetics, PA

  • Plastic Surgery Physician
  • Austin, TX
National Provider Identifier
1477584845
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
DEVENIR AESTHETICS, PA
Practice address
3807 Spicewood Springs Rd
Suite 201
Austin, TX 78759-8965
Phone
(512) 477-3778
Fax
(512) 477-3626
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Mrs. Wendy Juarez
Title
Office Manager
Phone
(512) 477-3778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

3807 Spicewood Springs Rd
Suite 201
Austin, TX 78759-8965

Mailing address

3807 Spicewood Springs Rd
#201
Austin, TX 78759-8965
Phone (512) 477-3778

Other identifiers 2

IdentifierTypeStateIssuer
45D1003610OtherCLIA
0040HWOtherBCBS GROUP

National Provider Directory

National Provider Directory

Locations

4611 Guadalupe St
Ste 100
Austin, TX 78751
Phone (512) 420-2303

900 W 38th St
Ste 200
Austin, TX 78705
Phone (512) 323-2061

3807 Spicewood Springs Rd
Ste 201
Austin, TX 78759
Phone (512) 477-3778

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1477584845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 SPICEWOOD SPRINGS RD",
            "address_2": "#201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598965",
            "telephone_number": "512-477-3778",
            "fax_number": "512-477-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 SPICEWOOD SPRINGS RD",
            "address_2": "SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598965",
            "telephone_number": "512-477-3778",
            "fax_number": "512-477-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVENIR AESTHETICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-477-3778",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D1003610",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0040HW",
            "state": null
        }
    ],
    "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 22, 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.