Individual provider Active NPI

Brandy Leann Loving, D.D.S.

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1902004179
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22312 Issued in TX
Practice address
7800 N Mopac Expy Ste 110
Austin, TX 78759-8961
Phone
(512) 649-4234
Fax
(512) 649-4234
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 22312 TX Primary

Addresses

Primary practice location

7800 N Mopac Expy Ste 110
Austin, TX 78759-8961

Mailing address

7800 N Mopac Expy Ste 110
Austin, TX 78759-8961
Phone (512) 649-4234

Other names 1

  • Dr. Brandy Leann Liska Former name

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

LicenseStateTypeSpecialty
22312TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dentistry of San Antonio Pediatric Dentistry Past Accepting new patients
Cantu Pediatric Dentistry PLLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1902004179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N MOPAC EXPY STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598961",
            "telephone_number": "512-649-4234",
            "fax_number": "512-436-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N MOPAC EXPY STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598961",
            "telephone_number": "512-649-4234",
            "fax_number": "512-649-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVING",
        "first_name": "BRANDY",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "22312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "LISKA",
            "middle_name": "LEANN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 3, 2024; 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.