Eric S Devries, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

24801 Issued in TX

Practice address

2455 I-40 W
Amarillo, TX 79109-1852

Phone

(806) 350-5437

Fax

(806) 350-5438

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amarillo Pediatric Dentistry and Orthodontics at Town Square PLLC

  • Pediatric Dentistry
  • Amarillo, TX
  • NPI 1134835424
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1003019290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091852",
            "telephone_number": "806-350-5437",
            "fax_number": "806-350-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091852",
            "telephone_number": "806-350-5437",
            "fax_number": "806-350-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "ERIC",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019107",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019107",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Descend Hbo2, P.a.
• Desert Willow Therapy PLLC
• Rachel Elizabeth Despain, BSN, RN
• Elva Siburt Devers, LPC
• Shravan Kumar Devkota, FNP-C
• Hillary L Dewbre-Hendrick, MD
• Dennis Deenesh Dey, MPAS, PA-C, MBBS,
• Mousumi Dey, PA
• Gnanashree Muthukaruppan Dharmarpandi, MD
• Jyottir Dittya Dharwal, MD

• Pediatric Dentistry in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.