Individual provider Active NPI

John Vincent Sessions, D.D.S.

  • General Practice Dentistry
  • Kirbyville, TX
National Provider Identifier
1083751820
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21259 Issued in TX
Practice address
106 W Main St
Kirbyville, TX 75956-2032
Phone
(409) 423-1300
Fax
(409) 423-1305
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 21259 TX Primary

Addresses

Primary practice location

106 W Main St
Kirbyville, TX 75956-2032

Mailing address

106 W Main St
Kirbyville, TX 75956-2032
Phone (409) 423-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331001155 TX Order and Referring Only - DentistPractitioner - Dentist 1254748619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21259TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083751820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759562032",
            "telephone_number": "409-423-1300",
            "fax_number": "409-423-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759562032",
            "telephone_number": "409-423-1300",
            "fax_number": "409-423-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESSIONS",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirbyville, TX

Sources for this page

Verify at the official NPI Registry.