Active NPI
Arthur Fred Renfro Jr., DDS
- Dentist
- Decatur, TX
National Provider Identifier
1124217880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12614
- Practice address
- 1101 W Eagle Dr Ste a
Decatur, TX 76234-3721 - Phone
- (940) 627-2778
- Fax
- (940) 627-7104
- NPI assigned
- Oct 18, 2007
- 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 | 12614 | TX | Primary |
Addresses
Primary practice location
1101 W Eagle Dr Ste a
Decatur, TX 76234-3721
Mailing address
1101 W Eagle Dr Ste a
Decatur, TX 76234-3721
Phone (940) 627-2778
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 |
|---|---|---|---|
| 12614 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chadwick M Lindt, D.D.S., P.C. | Dentist | Past | Accepting new patients |
| Excellent Dental PC | 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.
-
- Dentist
- Decatur, TX
- NPI 1134557697
-
- General Practice Dentistry
- Decatur, TX
- NPI 1811046527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1124217880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W EAGLE DR STE A",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343721",
"telephone_number": "940-627-2778",
"fax_number": "940-627-7104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W EAGLE DR STE A",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343721",
"telephone_number": "940-627-2778",
"fax_number": "940-627-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFRO",
"first_name": "ARTHUR",
"middle_name": "FRED",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-18",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "12614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.