Active NPI
Justin B Pillans, DDS
- Dentist
- Corsicana, TX
National Provider Identifier
1104926450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20494
- Practice address
- 3104 W State Highway 22
Corsicana, TX 75110-2435 - Phone
- (903) 872-8407
- Fax
- (903) 874-7231
- NPI assigned
- Sep 25, 2006
- Last updated
- Jun 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20494 | TX | Primary |
Addresses
Primary practice location
3104 W State Highway 22
Corsicana, TX 75110-2435
Mailing address
3104 W State Highway 22
Corsicana, TX 75110-2435
Phone (903) 872-8407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 751640114 | Other | TX | FEDERAL TAX ID # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20494 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollingsworth & Pillans DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Corsicana, TX
- NPI 1356441554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1104926450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 W STATE HIGHWAY 22",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751102435",
"telephone_number": "903-872-8407",
"fax_number": "903-874-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 W STATE HIGHWAY 22",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751102435",
"telephone_number": "903-872-8407",
"fax_number": "903-874-7231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILLANS",
"first_name": "JUSTIN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "20494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID #",
"identifier": "751640114",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corsicana, TX
- Jackeline Perez
- Anthony J Perri, MD
- Taylor Perry
- Jeffrey Scott Petty, DPM
- Philip R. Taft Psy.D. PLLC
- PM Management - Corsicana NC II LLC (Heritage Oaks Retirement Village)
- PM Management - Corsicana NC III LLC (Heritage Oaks West Retirement Village)
- PM Management - Corsicana NC LLC (Trisun Care Center - Corsicana)
- PM Management -Corsicana NC II, LLC (Heritage Oaks Retirement Village (ALF))
- PM Management Corsicana NC II LLC (Heritage Oaks Retirement Village)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.