Individual provider Active NPI

Joseph H. Emmert, DDS, MAGD

  • General Practice Dentistry
  • Bastrop, TX
National Provider Identifier
1093841744
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10114 Issued in TX
Practice address
301 SH 71 W Ste 200
Bastrop, TX 78602-4111
Phone
(512) 321-4445
Fax
(512) 321-7300
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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 10114 TX Primary

Addresses

Primary practice location

301 SH 71 W Ste 200
Bastrop, TX 78602-4111

Mailing address

301 Highway 71 W Ste 200
Bastrop, TX 78602-4111
Phone (512) 321-4445

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10114TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Hospital at Bastrop, LTD PastSince Jan 1, 2006 Accepting new patients
The Dentists PLLC General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1093841744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 71 W STE 200",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024111",
            "telephone_number": "512-321-4445",
            "fax_number": "512-321-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SH 71 W STE 200",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024111",
            "telephone_number": "512-321-4445",
            "fax_number": "512-321-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMERT",
        "first_name": "JOSEPH",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DDS, MAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.