NPIMap

Organization Active NPI

Dustin Dwiggins MD PA

  • Family Medicine Physician
  • Liberty Hill, TX
National Provider Identifier
1679108195
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DUSTIN DWIGGINS MD PA
Practice address
12701 W State Highway 29 Ste 5
Liberty Hill, TX 78642-6348
Phone
(512) 548-5373
Fax
(512) 548-5374
NPI assigned
Mar 4, 2020
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Dustin Dwiggins
Title
MD
Phone
(512) 548-5373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

12701 W State Highway 29 Ste 5
Liberty Hill, TX 78642-6348

Mailing address

1703 Sanchez St Apt 1
Austin, TX 78702-1642
Phone (512) 548-5373

Other identifiers 1

IdentifierTypeStateIssuer
1487071742OtherTXNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1679108195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 SANCHEZ ST APT 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021642",
            "telephone_number": "512-548-5373",
            "fax_number": "512-548-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 W STATE HIGHWAY 29 STE 5",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426348",
            "telephone_number": "512-548-5373",
            "fax_number": "512-548-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN DWIGGINS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "DWIGGINS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "512-548-5373"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487071742",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR ECW",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12701 W State Highway 29 Ste 5",
            "city": "Liberty Hill",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786426348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.