Ashwin Balakrishnan Nambisan, BDS, MPH

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

33926 Issued in TX

Practice address

4505 Spicewood Springs Rd Ste 100
Austin, TX 78759-8540

Phone

(512) 660-5008

NPI assigned

May 16, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

State licenses

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1578090932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 SPICEWOOD SPRINGS RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598540",
            "telephone_number": "512-660-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 SPICEWOOD SPRINGS RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598540",
            "telephone_number": "512-660-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMBISAN",
        "first_name": "ASHWIN",
        "middle_name": "BALAKRISHNAN",
        "name_prefix": "Dr.",
        "credential": "BDS, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "33926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Nallia, CNIM
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• Lila Sun Nam, BCBA
• Neha Nama
• Daphine Namara
• Surya Namboodiri, MD
• Namkeen Care LLC
• Angella Namutebi, PMHNP
• Murray F. Nance, PA-C
• Nancy K Brown Therapy, PLLC

• Periodontics in Austin, TX
• Providers in Austin, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.