Jeff Kyle Hancock, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21392 Issued in TX

Practice address

11010 Quaker Ave
Lubbock, TX 79424-8316

Phone

(806) 797-6453

Fax

(806) 791-2273

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 23, 2015 through Jun 23, 2027

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.

• Hancock and Johnston Dentistry

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1053475624
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063576627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248316",
            "telephone_number": "806-797-6453",
            "fax_number": "806-791-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248316",
            "telephone_number": "806-797-6453",
            "fax_number": "806-791-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "JEFF",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Beyer Hammond, M ED, LPC
• Amanda Lynn Hampton, M.ED., BCBA
• Cody Daniel Hamrick, DNP-A, CRNA
• Seung Yeob Han
• Hancock and Johnston Dentistry
• Joseph E Hancock, M.D.
• Kenyon Paul Haney, LPC
• Hanford Consultations P.a.
• Hanford Consultations, P.a.
• Patrick Hanford, DO

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.