METRO PERIODONTICS (NPI# 1962833996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962833996 |
| Entity Type | Organization |
| Organization Name | METRO PERIODONTICS |
| Other Organization Name | LONESTAR PERIODONTICS |
| Practice Address |
711 W 38th St Ste G5 Austin TX 78705-1121 |
| Mailing Address |
711 W 38th St Ste G5 Austin TX 78705 |
| Practice Telephone | 5124531600 |
| Practice Fax Number | 5124531503 |
| Mailing Telephone | 5124531600 |
| Mailing Fax Number | 5124531503 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | CHRISTOPHER MARK BINGAHAM (OWNER) |
| Authorized Official Telephone | 5124531600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Lonestar Periodontics | Doing Business As Name - Organization |
| Street Address |
711 W 38TH ST STE G5 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340293 | William Anson Dailey | Clinical Neuropsychologist | 711 W 38th St, Suite D-3, Austin, TX 78705-1121 | 2005-07-20 |
| 1124584842 | Brooke Gunning | Dietitian, Registered | 711 W 38th St, Austin, TX 78705-1121 | 2019-02-18 |
| 1710415732 | Ryan Epstein | Physical Therapist | 711 W 38th St, Austin, TX 78705-1121 | 2017-06-03 |
| 1932643798 | David Finkelstein | Physical Therapist | 711 W 38th St, Ste. C-11, Austin, TX 78705-1121 | 2016-12-14 |
| 1730621525 | Sarah Burkett Archer | Counselor | 711 W 38th St, Austin, TX 78705-1121 | 2016-11-09 |
| 1366996852 | Shane V Owens | Physical Therapist | 711 W 38th St, Building B3, Austin, TX 78705-1121 | 2016-08-12 |
| 1730538893 | Amy Nester | Specialist/Technologist | 711 W 38th St, G4, Austin, TX 78705-1121 | 2016-06-09 |
| 1033578406 | Erika Daniele | Physical Therapist | 711 W 38th St, Bldg 3, Austin, TX 78705-1121 | 2016-02-15 |
| 1205204591 | Precision Dentistry & Implants of Austin Pllc | Clinic/Center | 711 W 38th St, Suite B10, Austin, TX 78705-1121 | 2015-09-03 |
| 1437542818 | Preferred Imaging of Austin LLC | Clinic/Center | 711 W 38th St, Suite B-1, Austin, TX 78705-1121 | 2015-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1821519349 | Alireza Torabi | Dentist | 5000 W Slaughter Ln Ste 203, Austin, TX 78749-4057 | 2017-07-06 |
| 1558774554 | Austin Perio Health | Dentist | 4310 Medical Pkwy Ste 201, Austin, TX 78756-3331 | 2014-06-06 |
| 1619393469 | Enrique Cruz | Dentist | 115 Sandra Muraida Way, Apt 631, Austin, TX 78703-4696 | 2014-03-17 |
| 1285074260 | Marcy Jo Watson | Dentist | 11615 Angus Rd Ste 101, Austin, TX 78759-4064 | 2013-07-05 |
| 1568717460 | Cuong Huy Ha | Dentist | 2500 W William Cannon Dr Ste 103, Austin, TX 78745-5287 | 2012-07-17 |
| 1760798979 | Kishore Sama | Dentist | 1110 W William Cannon Dr Ste 401, Austin, TX 78745-5498 | 2010-08-25 |
| 1114165685 | Joshua Roland Chapa | Dentist | 4310 Medical Pkwy Ste 120, Austin, TX 78756-3331 | 2009-01-21 |
| 1013163260 | Siddharth Gupta | Dentist | 12319 N Mopac Expy Ste 160, Austin, TX 78758-2648 | 2008-08-07 |
| 1528286952 | Melanie Danielle Robinson | Dentist | 3305 Northland Dr Ste 204, Austin, TX 78731-5011 | 2007-04-23 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on METRO PERIODONTICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.