Individual provider Active NPI

Martin A. Denbar, D.D.S.

  • Dentist
  • Austin, TX
National Provider Identifier
1679788095
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10699 Issued in TX
Practice address
7800 N Mo Pac Expy Ste 300
Austin, TX 78759-8890
Phone
(512) 338-8120
Fax
(512) 338-8192
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10699 TX Primary

Addresses

Primary practice location

7800 N Mo Pac Expy Ste 300
Austin, TX 78759-8890

Mailing address

7800 N Mo Pac Expy Ste 300
Austin, TX 78759-8890
Phone (512) 338-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110809000680 TX Practitioner - Oral Surgery 1951598382 Practice locations: Austin, TX
O20101209001437 TX DME Supplier - Oral Surgery - Dentist 9133316565 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austin, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10699TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679788095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N MO PAC EXPY STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598890",
            "telephone_number": "512-338-8120",
            "fax_number": "512-338-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N MO PAC EXPY STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598890",
            "telephone_number": "512-338-8120",
            "fax_number": "512-338-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENBAR",
        "first_name": "MARTIN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "10699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.