1661 W 2ND CORSICANA PROFESSIONAL, PLLC , NPI 1225673098
Dentist in CORSICANA, TX
Last Updated on : Apr 20,2020
About 1661 W 2ND CORSICANA PROFESSIONAL, PLLC (NPI 1225673098)
1661 W 2ND CORSICANA PROFESSIONAL, PLLC is a Dentist in CORSICANA, United States .
1225673098 is NPI number of 1661 W 2ND CORSICANA PROFESSIONAL, PLLC.
1661 W 2ND CORSICANA PROFESSIONAL, PLLC's primary taxonomy code based on NPI Lookup is 122300000X with license number . This taxonomy code refers to Dentist.
1661 W 2ND CORSICANA PROFESSIONAL, PLLC current practice location address is 1661 W 2ND AVE, CORSICANA, TX. 1661 W 2ND CORSICANA PROFESSIONAL, PLLC can be reached out via phone at 903-872-1661 .
You can also correspond with 1661 W 2ND CORSICANA PROFESSIONAL, PLLC through mail at mailing address 1661 W 2ND AVE, CORSICANA, TX, United States. Mailing address contact number is 903-872-1661.
The enumeration date of 1661 W 2ND CORSICANA PROFESSIONAL, PLLC is 15-Nov-2019. The provider is registered as an Organization and the NPI record was last updated 3 years ago. The authorized official of 1661 W 2ND CORSICANA PROFESSIONAL, PLLC is PETER GRUMBOS (Owner). PETER GRUMBOS can be reached at 2142597000.1225673098 NPI Information
Basic NPI information of 1661 W 2ND CORSICANA PROFESSIONAL, PLLC (NPI 1225673098) is provided below.
| Name | 1661 W 2ND CORSICANA PROFESSIONAL, PLLC |
|---|---|
| National Provider Id (NPI) | 1225673098 |
| Entity Type | Organization |
| Practice Address | 1661 W 2ND AVE,
CORSICANA, TX, United States |
| Practice Telephone | 903-872-1661 |
| Practice Fax Number | |
| Mailing Address | 1661 W 2ND AVE ,
CORSICANA, TX, United States |
| Mailing Telephone | 903-872-1661 |
| Mailing Fax Number | |
| Enumeration Date | 15-Nov-2019 |
| Last Updated Date | 20-Apr-2020 |
1661 W 2ND CORSICANA PROFESSIONAL, PLLC (NPI 1225673098) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist |
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.
1661 W 2ND CORSICANA PROFESSIONAL, PLLC (NPI 1225673098) Office Location
Office location of 1661 W 2ND CORSICANA PROFESSIONAL, PLLC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1225673098 | 1661 W 2ND CORSICANA PROFESSIONAL, PLLC | Dentist | 1661 W 2ND AVE,
CORSICANA, TX, United States |
15-Nov-2019 |
| 1083234744 | 1661 W 2ND CORSICANA SERVICES, LLC | Dentist, General Practice | 1661 W 2ND AVE,
CORSICANA, TX, United States |
23-Apr-2020 |
| 1437417300 | 5 STAR HOME HEALTH SERVICES LLC | Home Health | 100 N MAIN ST,
STE 416 A CORSICANA, TX, United States |
30-Apr-2012 |
| 1730448598 | 5 STAR HOME HEALTH SERVICES LLC | Home Health | 100 N MAIN ST,
416 A CORSICANA, TX, United States |
14-May-2012 |
| 1780877209 | A & Y MEDICAL SUPPLY, LLC | Durable Medical Equipment & Medical Supplies | PO BOX 555,
MALAKOFF, TX, United States |
20-Aug-2007 |
| 1245454610 | JAMES ADAMS | Dentist, General Practice | 3108 W STATE HIGHWAY 22,
CORSICANA, TX, United States |
13-Apr-2007 |
| 1992828271 | ROBERT W. ADELMAN | Counselor | PO BOX 860,
MALAKOFF, TX, United States |
09-Apr-2007 |
| 1346682572 | BYRON E. ADVENT | Optometrist | 501 E. KOLSTAD ST.,
PALESTINE, TX, United States |
30-Jul-2013 |
| 1962696013 | AFFILION OF TEXAS PLLC | Emergency Medicine, Emergency Medical Services | 13737 NOEL RD,
STE 1600 DALLAS, TX, United States |
31-Aug-2007 |
| 1578145272 | TONYA JANELL AGUILAR | Licensed Vocational Nurse | 402 SE COUNTY ROAD 2190,
CORSICANA, TX, United States |
22-Apr-2021 |
| 1922564533 | CODY AHLGRIMM | Specialist/Technologist, Athletic Trainer | 3200 W 7TH AVE,
CORSICANA, TX, United States |
19-Feb-2019 |
| 1336143940 | BRIAN ROBERT ANDERSEN | Nurse Anesthetist, Certified Registered | 2241 F. M. 984,
ENNIS, TX, United States |
10-Jun-2005 |
| 1144348061 | JERRY RONALD ANDERSON | Counselor, Professional | PO BOX 187,
RICE, TX, United States |
27-Mar-2007 |
| 1235273582 | ANGELS AT HOME, INC. | Technician, Personal Care Attendant | 618 W 2ND AVE,
CORSICANA, TX, United States |
19-Feb-2007 |
| 1215414768 | APOLLOCARE1 LLC | Pharmacy | 1397 W 7TH AVE,
CORSICANA, TX, United States |
26-Jul-2018 |
| 1902323413 | JESSICA ARMSTRONG | Physical Therapy Assistant | 411 CAROL AVE,
CORSICANA, TX, United States |
25-Aug-2017 |
| 1609411008 | JON DANIEL ARZADON | Physical Therapist | 1300 N 45TH ST APT 1424,
CORSICANA, TX, United States |
10-Nov-2019 |
| 1679088561 | LYDIA BAILEY | Social Worker, Clinical | 400 N FULTON ST,
RICE, TX, United States |
13-Dec-2017 |
| 1144266503 | THEODORE M BANACH | Emergency Medicine | 200 CORPORATE BLVD,
SUITE 201 LAFAYETTE, LA, United States |
22-Jun-2006 |
| 1831679380 | SUSAN P BARKER | Physical Therapist | 500 W 3RD AVE STE 6,
CORSICANA, TX, United States |
15-Aug-2018 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1225673098?1225673098 is the NPI number of 1661 W 2ND CORSICANA PROFESSIONAL, PLLC.
Where is 1661 W 2ND CORSICANA PROFESSIONAL, PLLC located?1661 W 2ND CORSICANA PROFESSIONAL, PLLC is located at 1661 W 2ND AVE, CORSICANA, TX.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|