Individual provider Active NPI

Frederick E Hirt, DDS

  • Dentist
  • Webster, TX
National Provider Identifier
1124101472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11090 Issued in TX
Practice address
711 W Bay Area Blvd
Ste 604
Webster, TX 77598-4041
Phone
(281) 338-1235
Fax
(281) 338-5009
NPI assigned
Oct 23, 2006
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
Dentist 122300000X 11090 TX Primary

Addresses

Primary practice location

711 W Bay Area Blvd
Ste 604
Webster, TX 77598-4041

Mailing address

711 W Bay Area Blvd
Ste 604
Webster, TX 77598-4041
Phone (281) 338-1235

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
I20151208000018 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5395045736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11090TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124101472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W BAY AREA BLVD",
            "address_2": "STE 604",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984041",
            "telephone_number": "281-338-1235",
            "fax_number": "281-338-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W BAY AREA BLVD",
            "address_2": "STE 604",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984041",
            "telephone_number": "281-338-1235",
            "fax_number": "281-338-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRT",
        "first_name": "FREDERICK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "11090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.