Active NPI
Gayanne Devry, DMD
- Dentist
- Austin, TX
National Provider Identifier
1780878504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15610
- Practice address
- 5608 Parkcrest Dr Ste 250
Austin, TX 78731-4987 - Phone
- (512) 459-4746
- Fax
- (512) 459-4792
- NPI assigned
- Sep 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 15610 | TX | Primary |
Addresses
Primary practice location
5608 Parkcrest Dr Ste 250
Austin, TX 78731-4987
Mailing address
5608 Parkcrest Dr Ste 250
Austin, TX 78731-4987
Phone (512) 459-4746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 9, 2016 through May 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15610 | TX | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1780878504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 PARKCREST DR STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314987",
"telephone_number": "512-459-4746",
"fax_number": "512-459-4792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5608 PARKCREST DR STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314987",
"telephone_number": "512-459-4746",
"fax_number": "512-459-4792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVRY",
"first_name": "GAYANNE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "15610",
"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 Feb 20, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.