Individual provider Active NPI

Max Olen Kerr, DDS

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1609075092
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25202 Issued in TX
Practice address
920 N Vista Ridge Blvd
Suite 700
Cedar Park, TX 78613-7637
Phone
(512) 402-7811
Fax
(512) 777-4076
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25202 TX Primary

Addresses

Primary practice location

920 N Vista Ridge Blvd
Suite 700
Cedar Park, TX 78613-7637

Mailing address

920 N Vista Ridge Blvd
Suite 700
Cedar Park, TX 78613-7637
Phone (210) 326-5744

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922001729 TX Practitioner - Dentist 0749509867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sleep Better Austin Treatment PLLCGroup PAC ID 4183913932, 9 clinicians

Practice addresses (Care Compare)

1401 Medical Pkwy
Suite 410
Cedar Park, TX 78613-5015
Phone (512) 215-4350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25202TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Better Austin Treatment PLLC CurrentSince Sep 18, 2018 Accepting new patients
Sleep Better Austin Treatment, PLLC CurrentSince Jun 17, 2020 Accepting new patients
Ozark Snoring and Sleep Apnea PLLC PastSince Aug 1, 2023 Accepting new patients
Sleep Better Austin Treatment PLLC Past Accepting new patients
Sleep Better Austin Treatment PLLC Past Accepting new patients
Sleep Better Austin Treatment PLLC Past Accepting new patients

Locations

4009 Banister Ln
Ste 370
Austin, TX 78704
Phone 5122154350402

5920 W William Cannon Dr
Ste 210
Austin, TX 78749

5920 W William Cannon Dr
Bldg 6
Austin, TX 78749
Phone (512) 336-8909

1600 W 38th St
Ste 407
Austin, TX 78731
Phone (512) 722-6075

920 N Vista Ridge Blvd
Ste 700
Cedar Park, TX 78613
Phone 5122154350402

1401 Medical Pkwy
Ste 410
Cedar Park, TX 78613
Phone (512) 260-3636

4405 Williams Dr
Ste 300
Georgetown, TX 78628
Phone (512) 686-2525

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1609075092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N VISTA RIDGE BLVD",
            "address_2": "SUITE 700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137637",
            "telephone_number": "210-326-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N VISTA RIDGE BLVD",
            "address_2": "SUITE 700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137637",
            "telephone_number": "512-402-7811",
            "fax_number": "512-777-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "MAX",
        "middle_name": "OLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.