Active NPI
Robert Dehne, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Austin, TX
National Provider Identifier
1982678256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- G4968
- Practice address
- 1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723 - Phone
- (512) 478-8116
- Fax
- (512) 478-9368
- NPI assigned
- Feb 14, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G4968 | TX | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | G4968 | TX | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | G4968 | TX | Primary |
Addresses
Primary practice location
1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723
Mailing address
1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723-3077
Phone (512) 478-8116
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178581801 | Medicaid | TX | |
| 178581802 | Other | TX | MEDICAID CSHCN |
| 8V1730 | Other | TX | BCBS INDIVIDUAL # |
| 1785818-06 | Other | TX | MEDICAID CSHCN ROT |
| 1785818-05 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4968 | TX | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Pediatric Orthopedics and Scoliosis Surgery PA | Orthopaedic Surgery | 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.
-
- Pediatric Orthopaedic Surgery Physician
- Austin, TX
- NPI 1144294661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1982678256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233077",
"telephone_number": "512-478-8116",
"fax_number": "512-478-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78723",
"telephone_number": "512-478-8116",
"fax_number": "512-478-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHNE",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "G4968",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "TX",
"license": "G4968",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "TX",
"license": "G4968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178581801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CSHCN",
"identifier": "178581802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL #",
"identifier": "8V1730",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CSHCN ROT",
"identifier": "1785818-06",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1785818-05",
"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 Sep 18, 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.