Obadah Nabeel Austah, BDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

30672 Issued in TX

Practice address

7703 Floyd Curl Dr
Dental School MSC - 7892
San Antonio, TX 78229-3901

Phone

(210) 567-3394

NPI assigned

Sep 14, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1497005698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 ROWLEY RD",
            "address_2": "5104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404819",
            "telephone_number": "571-234-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "address_2": "DENTAL SCHOOL MSC - 7892",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-567-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTAH",
        "first_name": "OBADAH",
        "middle_name": "NABEEL",
        "name_prefix": "Dr.",
        "credential": "BDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "ETN42",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "30672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Aurelio
• Bernadette Marie Yvonne Auricht, MD
• Edith Natal Ausburn, LCSW
• Caroline Ausley
• Rezane Aussi, DO
• Mia Gabrielle Auster, OD
• Tracey Lauren Auster, PHD
• Austin B. Miller, MD, PA
• Austin Pathology Associates
• Austin Spine & Rehab

• Endodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.