DR. CAROLYN A. ETHEREDGE DMD
NPI 1952369720
Dentist in Austin, TX

Q: What is Carolyn Etheredge's NPI number?

The NPI number for Carolyn Etheredge is 1952369720. It was assigned to this individual provider in the NPPES registry on May 2, 2006. The provider is also known as Dr. Carolyn A. Brustad Dmd.

Q: What is Carolyn Etheredge's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Etheredge was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 02, 2006PECOS Enrolled

3631 N HILLS DR, AUSTIN, TX 78731(512) 345-2425(512) 345-3898 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Carolyn A. Etheredge Dmd NPPES

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

DR. CAROLYN A. ETHEREDGE DMD (NPI 1952369720) is an individual dentist in Austin, Texas, licensed in Texas (24282) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952369720

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. CAROLYN A. ETHEREDGECredential: DMD

Location Address3631 N HILLS DRAustin, TX 78731-3000

Mailing Address6604 Mesa DrAustin, TX 78731-2706 · (512) 965-5347 · Fax (512) 255-3898

Phone(512) 345-2425

Fax(512) 345-3898

Sole ProprietorNo

Enumeration DateMay 2, 2006

Last NPPES UpdateJune 25, 2024

NPPES CertifiedJune 25, 2024

✔ NPI 1952369720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 24282

Definition

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2901018922 (MI)

3631 N HILLS DR, Austin, TX 78731

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Other Names 1

Former Name (1)Dr. Carolyn A. Brustad Dmd

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. Carolyn A. Etheredge Dmd 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 78731 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

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 Carolyn Etheredge's NPI number?

The NPI number for Carolyn Etheredge is 1952369720. It was assigned to this individual provider in the NPPES registry on May 2, 2006. The provider is also known as Dr. Carolyn A. Brustad Dmd.

Where is Carolyn Etheredge located?

Carolyn Etheredge practices at 3631 N Hills Dr, Austin, TX 78731. The listed phone number is (512) 345-2425.

What is Carolyn Etheredge's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Carolyn Etheredge enrolled in Medicare?

Yes. Carolyn Etheredge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolyn Etheredge was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.