NPIMap

Organization Active NPI

Brian D. Tucker, DMD, PC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1699074419
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22655 Issued in TX
Legal business name
BRIAN D. TUCKER, DMD, PC
Practice address
3508 Far West Blvd Ste 310
Austin, TX 78731-3080
Phone
(512) 346-5738
Fax
(512) 346-3241
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Brian D Tucker, D.M.D.NPI 1316033608
Title
Dentist/Owner
Phone
(512) 346-5738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22655 TX Primary

Addresses

Primary practice location

3508 Far West Blvd Ste 310
Austin, TX 78731-3080

Mailing address

3508 Far West Blvd Ste 310
Austin, TX 78731-3080
Phone (512) 346-5738

Other names 1

  • Austin Family Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

3508 Far West Blvd
Ste 310
Austin, TX 78731
Phone (512) 346-5738

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1699074419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 FAR WEST BLVD STE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313080",
            "telephone_number": "512-346-5738",
            "fax_number": "512-346-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 FAR WEST BLVD STE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313080",
            "telephone_number": "512-346-5738",
            "fax_number": "512-346-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D. TUCKER, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "512-346-5738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Family Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.