Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053864983 Individual Practitioner Female Practitioner

Dr. Fareeda Bacchus , DDS, MS

Dentist - General Practice • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Fareeda Bacchus, DDS, MS is a registered healthcare professional specializing in Dentist - General Practice in Austin, TX. Practice services are available at 2121 E OLTORF ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2121 E Oltorf St

Austin, TX 787414500

Telephone 9498009524
Associated Practice Facility / Clinic
🏢 S And S Dental Facility NPI 1144312851

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
505 Specialists

Practicing in Austin, TX (10570 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 33831

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.

Secondary Practice Locations

2403 Kennedy Blvd

Jersey City, NJ 073041909

Phone: 2013321664

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Muhammad Nadeem

Dentist - General Practice

NPI 1649715863
NPI 1780278655
NPI 1790378719

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location November 19, 2021

Registered at 2121 E OLTORF ST, AUSTIN, TX 787414500 (Tel: 9498009524)

📍
Updated Business Mailing Address November 19, 2021

Registered at 2121 E OLTORF ST, AUSTIN, TX 787414500

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2021

Dentist (License #33831 in TX)

📍
Updated Practice Location August 07, 2018

Registered at 2 VILLAGE SQ STE 250, BALTIMORE, MD 21210 (Tel: 4103236400)

📍
Updated Business Mailing Address August 07, 2018

Registered at 2 VILLAGE SQ STE 250, BALTIMORE, MD 212101606

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2018

Dentist (License #16296 in MD)

📍
Updated Business Mailing Address April 30, 2018

Registered at 2403 KENNEDY BLVD, JERSEY CITY, NJ 073041909

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2018

Dentist (License #16296 in MD)

NPI Profile Active November 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2017

Registered at 2403 KENNEDY BLVD, JERSEY CITY, NJ 073041909 (Tel: 2013321664)

📍
Updated Business Mailing Address November 01, 2017

Registered at 68 WINFIELD AVE, JERSEY CITY, NJ 073053914

👤
Provider Name / Credentials Updated November 01, 2017

Recorded as FAREEDA BACCHUS, DDS, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2017

Dentist (License #22DL02683300 in NJ)

NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2016

Registered at 1005 DR TODD JR BLVD, NASHVILLE, TN 37208 (Tel: 7186308948)

📍
Updated Business Mailing Address September 13, 2016

Registered at 5800 3RD AVE, BROOKLYN, NY 112203702

👤
Provider Name / Credentials Updated September 13, 2016

Recorded as FAREEDA BACCHUS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 27, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053864983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2016
Last Update: November 19, 2021
Sole Proprietor: No

Mailing Address

2121 E Oltorf St

Austin, TX 787414500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.