Active NPI
Scott Bradly Essig, DDS
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1760712160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25020
- Practice address
- 6801 S I H 35 Ste 1-D
Austin, TX 78744-4824 - Phone
- (512) 608-4420
- NPI assigned
- Jan 6, 2010
- Last updated
- Jan 6, 2010
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25020 | TX | Primary |
Addresses
Primary practice location
6801 S I H 35 Ste 1-D
Austin, TX 78744-4824
Mailing address
2513 Countryside Cir
Spicewood, TX 78669-3046
Phone (212) 920-9509
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160315001189 | TX | Order and Referring Only - Oral Surgery | 0042516247 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WS Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Austin, TX
- NPI 1063065472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1760712160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513 COUNTRYSIDE CIR",
"city": "SPICEWOOD",
"state": "TX",
"postal_code": "786693046",
"telephone_number": "212-920-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 S I H 35 STE 1-D",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787444824",
"telephone_number": "512-608-4420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSIG",
"first_name": "SCOTT",
"middle_name": "BRADLY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Essential Home Health Care Agency Inc (Austin Home Health Care Agency)
- Essential Life Chiropractic & Wellness
- Madison Esser
- Samuel Ubong Essien
- Nelson Essiet
- Essilor Laboratories of America, L.P. (Dash Lab)
- Daniel Joseph Estabrook, LCSW
- Sara Esteban-Moore, RN
- Holli Esteban, CNS
- Vanessa Aguilar Estebane, LPC(C)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.