Gary Lee Squyres, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

21843 Issued in TX

Practice address

514 Honea Egypt Rd
Suite 100
Magnolia, TX 77354-3399

Phone

(281) 252-8809

Fax

(281) 252-8839

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Glowsmile Dental PLLC

  • Dental Clinic/Center
  • Magnolia, TX
  • NPI 1447108162
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1003910589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 HONEA EGYPT RD",
            "address_2": "SUITE 100",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543399",
            "telephone_number": "281-252-8809",
            "fax_number": "281-252-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 HONEA EGYPT RD",
            "address_2": "SUITE 100",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543399",
            "telephone_number": "281-252-8809",
            "fax_number": "281-252-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUYRES",
        "first_name": "GARY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Legacy Hospice LLC
• Southern Wellness Chiropractic PLLC
• Sarah Spann
• Speech Magnolias, PLLC
• Alexis Squires, PT
• Richard Srebro, M.D.
• St Nicholas Project, Inc (St Nicholas - Home Health)
• Martaya St. John
• Jeffrey Joseph Stachowiak
• Stagecoach Children's Dental Center

• Dentist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.