Individual provider Active NPI

Dewey Adrian Doga III, D.D.S., P.A.

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1780723106
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17819 Issued in TX
Practice address
4815 W Braker LN
Suite 516
Austin, TX 78759-5799
Phone
(512) 231-8888
NPI assigned
Feb 5, 2007
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17819 TX Primary

Addresses

Primary practice location

4815 W Braker LN
Suite 516
Austin, TX 78759-5799

Mailing address

4815 W Braker LN
Suite 516
Austin, TX 78759-5799
Phone (512) 231-8888

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
17819TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1780723106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 W BRAKER LN",
            "address_2": "SUITE 516",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595799",
            "telephone_number": "512-231-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 W BRAKER LN",
            "address_2": "SUITE 516",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595799",
            "telephone_number": "512-231-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGA",
        "first_name": "DEWEY",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17819",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 3, 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.

Verify at the official NPI Registry.