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DR. AUSTIN REVVIE GREEN DDS
NPI 1194254714
Dentist - General Practice in Waco, TX

Active since June 07, 2017PECOS Enrolled
7911 WOODWAY DR, WACO, TX 76712(254) 772-3632 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Dec 10, 2020, Nov 26, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Austin Revvie Green Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AUSTIN REVVIE GREEN DDS (NPI 1194254714) is an individual general practice provider in Waco, Texas, licensed in Texas (33131) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1194254714
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. AUSTIN REVVIE GREENCredential: DDS
Location Address7911 WOODWAY DRWaco, TX 76712-3866
Mailing Address7911 Woodway DrWaco, TX 76712-3866 · (254) 772-3632 · Fax (254) 772-7856
Phone(254) 772-3632
Sole ProprietorNo
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1194254714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 33131
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7911 WOODWAY DR, Waco, TX 76712
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Secondary Practice Location 1

Location 1789 Howard AveNew Haven, CT 06519-1304 · Phone (203) 688-2464

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Austin Revvie Green Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CREEKWOOD DENTAL ARTS, PLLC
Clinic/Center (Dental)
7911 WOODWAY DR
WACO, TX 76712
McLennan County (254) 772-3632
MS. D. MICHELLE HINDS DDS
Dentist
7911 WOODWAY DR
WACO, TX 76712
McLennan County (254) 772-3632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Austin Green's NPI number?

The NPI number for Austin Green is 1194254714. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Austin Green located?

Austin Green practices at 7911 Woodway Dr, Waco, TX 76712. The listed phone number is (254) 772-3632.

What is Austin Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Austin Green enrolled in Medicare?

Yes. Austin Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Austin Green was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.