Jeffrey Bishop Hancock, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20088 Issued in TX

Practice address

1125 N University Dr
Nacogdoches, TX 75961-4248

Phone

(936) 564-2005

Fax

(936) 564-9776

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063586857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 PARKWOOD ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759656566",
            "telephone_number": "936-559-1910",
            "fax_number": "936-564-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614248",
            "telephone_number": "936-564-2005",
            "fax_number": "936-564-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "JEFFREY",
        "middle_name": "BISHOP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell D Haley, OD
• Barbara Hall, RN
• Sherrie L Hallman, PTA
• Whitney Revette Hamilton, P.A.
• Connie Nicole Hamner, LVN
• Kaycie Daigle Hancock, CRNA
• Ronald Sammy Hancock, DDS
• Hanger Prosthetics & Orthotics Inc
• Harbor Hospice of Nacogdoches LP
• Deidra Harbour, LPC

• General Practice Dentistry in Nacogdoches, TX
• Providers in Nacogdoches, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.