Individual provider Active NPI

Benjamin John Poest, D.D.S.

  • Dentist
  • Austin, TX
National Provider Identifier
1679884886
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25417 Issued in TX
Practice address
11130 Jollyville Rd
Austin, TX 78759-5593
Phone
(517) 346-8424
NPI assigned
Jun 23, 2010
Last updated
Jun 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25417 TX Primary

Addresses

Primary practice location

11130 Jollyville Rd
Austin, TX 78759-5593

Mailing address

11130 Jollyville Rd
Austin, TX 78759-5593
Phone (517) 346-8424

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
I20150731016386 TX Order and Referring Only - DentistPractitioner - Dentist 2668786864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1679884886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 JOLLYVILLE RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595593",
            "telephone_number": "517-346-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 JOLLYVILLE RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595593",
            "telephone_number": "517-346-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEST",
        "first_name": "BENJAMIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.