CANDACE LAUREN BRUNO (NPI# 1609188259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609188259 |
| Entity Type | Individual |
| Full Name | CANDACE LAUREN BRUNO |
| Credential | DMD |
| Practice Address |
11410 Jollyville Rd 3102 Austin TX 78759-4097 |
| Mailing Address |
7416 Turnbuoy Dr Austin TX 78730-4333 |
| Practice Telephone | 5123728484 |
| Mailing Telephone | 6192614073 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0025624 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0025624 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2128852-01 | 05 |
| Street Address |
11410 JOLLYVILLE RD 3102 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-4097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061439 | Richard Thomas Chopp | Urology | 11410 Jollyville Rd, Ste 1101, Austin, TX 78759-4093 | 2005-05-24 |
| 1013380591 | Gordon Lang | Nurse Practitioner | 11410 Jollyville Rd, Suite 1101, Austin, TX 78759-4097 | 2015-11-05 |
| 1073842696 | Danielle Bagaley Manes | Physician Assistant | 11410 Jollyville Rd, Suite 1101, Austin, TX 78759-4097 | 2009-12-10 |
| 1881847960 | Elizabeth Marie Mobley | Urology | 11410 Jollyville Rd, Suite 1101, Austin, TX 78759-4097 | 2008-11-03 |
| 1992907349 | Steven & Donna Shepard | Optometrist | 11410 Jollyville Rd, Suite 3201, Austin, TX 78759-4097 | 2007-06-05 |
| 1821185190 | Hans M Sander Md Pa | Specialist | 11410 Jollyville Rd, Suite 2101, Austin, TX 78759-4097 | 2006-10-06 |
| 1265473631 | Bryan Todd Kansas | Urology | 11410 Jollyville Rd, Suite 1101, Austin, TX 78759-4097 | 2006-06-09 |
| 1154394997 | Melody Ann Denson | Urology | 11410 Jollyville Rd, Austin, TX 78759-4097 | 2006-02-10 |
| 1043209612 | Donna G Shepard | Optometrist | 11410 Jollyville Rd, Suite 3201, Austin, TX 78759-4097 | 2005-10-17 |
| 1861481434 | Steven K Shepard | Optometrist | 11410 Jollyville Rd, Suite 3201, Austin, TX 78759-4097 | 2005-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
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| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1477181014 | The Doctors Morren, Pllc | Dentist | 3810 N Quinlan Park Rd, Austin, TX 78732 | 2020-03-30 |
| 1003462045 | Ac Dentistry Pllc | Dentist | 13616 N Highway 183, Austin, TX 78750-2311 | 2019-08-15 |
| 1619520087 | Iana Elledge | Dentist | 4801 Amarra Dr, Austin, TX 78735-1845 | 2019-07-24 |
| 1861044265 | John Dinh Le | Dentist | 801 E William Cannon Dr Ste 201, Austin, TX 78745-6671 | 2019-07-15 |
| 1669030979 | Angela Patricia Velasquez | Dentist | 6601 Rialto Blvd Apt 6213, Austin, TX 78735-0063 | 2019-06-01 |
| 1093281289 | Brush32 Dental of South Congress Pllc | Dentist | 8900 S Congress Ave, Ste 400, Austin, TX 78745-7393 | 2018-10-16 |
| 1295216752 | Chia-chen Tsai | Dentist | 1500 W William Cannon Dr Apt 239, Austin, TX 78745-3767 | 2018-08-23 |
| 1194205427 | Mairna Qandla | Dentist | 10500 Avery Club Dr Unit 2, Austin, TX 78717-3937 | 2018-08-16 |
| 1487131470 | Brijita Parekh | Dentist | 6302 Libyan Dr, Austin, TX 78745-4971 | 2018-07-23 |
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| 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.