Active NPI
Patrick Briscoe, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Longview, TX
National Provider Identifier
1063533354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 23699
- Practice address
- 3006 H G Mosley Pkwy
Longview, TX 75605-2948 - Phone
- (903) 753-2151
- Fax
- (903) 753-0884
- NPI assigned
- Apr 3, 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 23699 | TX | Primary |
Addresses
Primary practice location
3006 H G Mosley Pkwy
Longview, TX 75605-2948
Mailing address
3006 H G Mosley Pkwy
Longview, TX 75605-2948
Phone (903) 753-2151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114234556 | Other | TX | ULTRA ORTHODONTICS |
| 1427168541 | Other | TX | SHERMAN & BRISCOE ORTHODONTICS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23699 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultra Orthodontics | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Sherman Sherman & Briscoe Orthodontics | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
3006 H G Mosley Pkwy
Longview, TX 75605
Phone (903) 753-2151
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Longview, TX
- NPI 1427168541
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Longview, TX
- NPI 1114234556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1063533354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 H G MOSLEY PKWY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756052948",
"telephone_number": "903-753-2151",
"fax_number": "903-753-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 H G MOSLEY PKWY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756052948",
"telephone_number": "903-753-2151",
"fax_number": "903-753-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISCOE",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "23699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ULTRA ORTHODONTICS",
"identifier": "1114234556",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHERMAN & BRISCOE ORTHODONTICS",
"identifier": "1427168541",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.