Active NPI
Sinan Abdulkadir, BDS, DMD
- General Practice Dentistry
- Bastrop, TX
National Provider Identifier
1588045843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30935
- Practice address
- 717 Highway 71 W
Suite 300
Bastrop, TX 78602-4063 - Phone
- (512) 501-4176
- NPI assigned
- Jun 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30935 | TX | Primary |
Addresses
Primary practice location
717 Highway 71 W
Suite 300
Bastrop, TX 78602-4063
Mailing address
3201 Esperanza Xing Apt 421
Austin, TX 78758-7866
Phone (512) 367-3423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30935 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1588045843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 ESPERANZA XING APT 421",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787587866",
"telephone_number": "512-367-3423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 HIGHWAY 71 W",
"address_2": "SUITE 300",
"city": "BASTROP",
"state": "TX",
"postal_code": "786024063",
"telephone_number": "512-501-4176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULKADIR",
"first_name": "SINAN",
"name_prefix": "Dr.",
"credential": "BDS, DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-12",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.