Individual provider Active NPI

Steven Wayne Titensor, DDS,PA

  • General Practice Dentistry
  • Flower Mound, TX
National Provider Identifier
1083736805
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15105 Issued in TX
Practice address
1901 Long Prairie Rd
Suite 320
Flower Mound, TX 75022-4220
Phone
(972) 355-9545
Fax
(972) 355-9544
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15105 TX Primary

Addresses

Primary practice location

1901 Long Prairie Rd
Suite 320
Flower Mound, TX 75022-4220

Mailing address

474 Wales CT
Coppell, TX 75019-5141
Phone (972) 462-0270

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15105TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083736805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 WALES CT",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195141",
            "telephone_number": "972-462-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LONG PRAIRIE RD",
            "address_2": "SUITE 320",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224220",
            "telephone_number": "972-355-9545",
            "fax_number": "972-355-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITENSOR",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS,PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

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.

Verify at the official NPI Registry.