Individual provider Active NPI

Briana Brooke Austin, D.D.S.

  • Dentist
  • Benson, NC
National Provider Identifier
1659783603
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9734 Issued in NC
Practice address
70 Crape Myrtle Dr
Suite 104
Benson, NC 27504-8034
Phone
(919) 938-0875
Fax
(919) 934-0266
NPI assigned
May 27, 2014
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9734 NC Primary

Addresses

Primary practice location

70 Crape Myrtle Dr
Suite 104
Benson, NC 27504-8034

Mailing address

361 The Greens Cir
Apt. 303
Raleigh, NC 27606-5255
Phone (919) 323-6108

Other names 1

  • Miss Briana Brooke Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819007141 NC Order and Referring Only - Other (Non-Physician) 3971818089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9734NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1659783603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 THE GREENS CIR",
            "address_2": "APT. 303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065255",
            "telephone_number": "919-323-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CRAPE MYRTLE DR",
            "address_2": "SUITE 104",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275048034",
            "telephone_number": "919-938-0875",
            "fax_number": "919-934-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "BRIANA",
        "middle_name": "BROOKE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANA",
            "last_name": "TAYLOR",
            "middle_name": "BROOKE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Benson, NC

Sources for this page

Verify at the official NPI Registry.