Active NPI
Brad C Singleton, D.D.S
- Pediatric Dentistry
- Austin, TX
National Provider Identifier
1710076344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 21120
- Practice address
- 3410 Far West Blvd
Suite 310
Austin, TX 78731-3194 - Phone
- (512) 349-9500
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 21120 | TX | Primary |
Addresses
Primary practice location
3410 Far West Blvd
Suite 310
Austin, TX 78731-3194
Mailing address
3410 Far West Blvd
Suite 310
Austin, TX 78731-3194
Phone (512) 349-9500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633200 | Other | TX | UNITED CONCORDIAPROVIDER# |
| 170979204 | Medicaid | TX | |
| 179020076 | Other | TX | ADA # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21120 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1710076344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 FAR WEST BLVD",
"address_2": "SUITE 310",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313194",
"telephone_number": "512-349-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 FAR WEST BLVD",
"address_2": "SUITE 310",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313194",
"telephone_number": "512-349-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGLETON",
"first_name": "BRAD",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "21120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIAPROVIDER#",
"identifier": "01633200",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170979204",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADA #",
"identifier": "179020076",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.