Provider Demographics
NPI:1427046119
Name:DIEMER, KARA BETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:BETH
Last Name:DIEMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13915 N. MOPAC EXPRESSWAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728
Mailing Address - Country:US
Mailing Address - Phone:512-218-1130
Mailing Address - Fax:512-215-4423
Practice Address - Street 1:13915 N. MOPAC EXPRESSWAY
Practice Address - Street 2:SUITE 110
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728
Practice Address - Country:US
Practice Address - Phone:512-218-1130
Practice Address - Fax:512-218-4423
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX226581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM82337829Medicaid