Individual provider Active NPI

Steven Tate, D.D.S.

  • General Practice Dentistry
  • Burleson, TX
National Provider Identifier
1043412372
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13143 Issued in TX
Practice address
312 E Renfro St
Ste 204
Burleson, TX 76028-3947
Phone
(817) 295-7116
Fax
(817) 295-1404
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13143 TX Primary

Addresses

Primary practice location

312 E Renfro St
Ste 204
Burleson, TX 76028-3947

Mailing address

312 E Renfro St
Ste 204
Burleson, TX 76028-3947
Phone (817) 295-7116

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

LicenseStateTypeSpecialty
13143TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Visions, P.a. General Practice Past Accepting new patients
James Denton PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1043412372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E RENFRO ST",
            "address_2": "STE 204",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283947",
            "telephone_number": "817-295-7116",
            "fax_number": "817-295-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E RENFRO ST",
            "address_2": "STE 204",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283947",
            "telephone_number": "817-295-7116",
            "fax_number": "817-295-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "STEVEN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.