AUSTIN BROWN CLYDE DDS
NPI 1902666928
Student in an Organized Health Care Education/Training Program in Iowa City, IA
About Austin Brown Clyde Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUSTIN BROWN CLYDE DDS (NPI 1902666928) is an individual student in an organized health care education/training program in Iowa City, Iowa, licensed in Iowa (RES-30693) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Iowa City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Austin Brown Clyde Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IOWA CITY, IA 52242
IOWA CITY, IA 52242
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 Clyde's NPI number?
The NPI number for Austin Clyde is 1902666928. It was assigned to this individual provider in the NPPES registry on March 19, 2024.
Where is Austin Clyde located?
Austin Clyde practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-2205.
What is Austin Clyde's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Austin Clyde enrolled in Medicare?
Yes. Austin Clyde is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Austin Clyde was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Austin Brown Clyde, DDS · NPI 1902666928
Student in an Organized Health Care Education/Training Program provider in Iowa City, Iowa. Individual provider, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1902666928 (Entity type: Individual)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** RES-30693 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 HAWKINS DR, Iowa City, IA 52242-1049
- **Phone:** (319) 356-2205
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** October 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902666928) · Data from the CMS NPPES public registry.