Individual provider Active NPI

Brinda Nair

  • Dentist
  • Austin, TX
National Provider Identifier
1649682105
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29913 Issued in TX
Practice address
5717 S Ih 35 Ste 101
Austin, TX 78744-2711
Phone
(512) 462-4775
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29913 TX
Dentist 122300000X 29913 TX Primary

Addresses

Primary practice location

5717 S Ih 35 Ste 101
Austin, TX 78744-2711

Mailing address

109 Sunrise Ridge CV
Austin, TX 78738-5613
Phone (210) 483-0661

Other practice location 1

12585 Cardinal Creek Dr
Frisco, TX 75033-0984
Phone (832) 298-7033

Other names 1

  • Brinda Nair Professional name

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
I20151003000029 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587972914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nair & Pillai Serenity Dental, PLLC General Practice CurrentSince Jul 27, 2020 Accepting new patients
Stassney Austin Dental PLLC General Practice Past Accepting new patients

Locations

8731 W Highway 71
Ste 102
Austin, TX 78735
Phone (210) 483-0661

Organizations & group practices 2

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1649682105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SUNRISE RIDGE CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385613",
            "telephone_number": "210-483-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 S IH 35 STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787442711",
            "telephone_number": "512-462-4775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12585 Cardinal Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750330984",
            "country_code": "US",
            "telephone_number": "832-298-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIR",
        "first_name": "BRINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29913",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRINDA",
            "last_name": "NAIR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.