Active NPI
Gerald Clay Bevers, DDS
- General Practice Dentistry
- Lubbock, TX
National Provider Identifier
1023163946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11982
- Practice address
- 4903 82ND St Suite 60
Lubbock, TX 79424 - Phone
- (806) 798-2996
- Fax
- (806) 798-2998
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11982 | TX | Primary |
Addresses
Primary practice location
4903 82ND St Suite 60
Lubbock, TX 79424
Mailing address
4903 82ND St Suite 60
Lubbock, TX 79424
Phone (806) 798-2996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11982 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023163946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4903 82ND ST SUITE 60",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79424",
"telephone_number": "806-798-2996",
"fax_number": "806-798-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4903 82ND ST SUITE 60",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79424",
"telephone_number": "806-798-2996",
"fax_number": "806-798-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERS",
"first_name": "GERALD",
"middle_name": "CLAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
- Better Case Manager LLC
- Better Pathways
- Mason Bettes, MD
- Stephanie A Betts, MA, CCC-SLP
- Diamantina Virginia Bevers, PTA
- Sarah Louise Bevins, OTR/L
- Gabrielle Estelle Beyidi Noah
- Beyondfaith Homecare & Rehab LLC (Beyondfaith Homecare & Rehab of Wichita Falls)
- Beyondfaith Hospice of Lubbock LLC
- BG Anesthesia, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.