Active NPI
Bartholomew Mackay Paxton, D.D.S
- Dentist
- Keller, TX
National Provider Identifier
1134498520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31518
- Practice address
- 121 Rufe Snow Dr Ste 111
Keller, TX 76248-2111 - Phone
- (817) 337-7941
- Fax
- (817) 337-7942
- NPI assigned
- Dec 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 31518 | TX | Primary |
Addresses
Primary practice location
121 Rufe Snow Dr Ste 111
Keller, TX 76248-2111
Mailing address
121 Rufe Snow Dr Ste 111
Keller, TX 76248-2111
Phone (817) 337-7941
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 |
|---|---|---|---|
| 31518 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keller Town Dental | 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 and National Provider Directory roles.
-
- Dentist
- Keller, TX
- NPI 1447620133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1134498520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 RUFE SNOW DR STE 111",
"city": "KELLER",
"state": "TX",
"postal_code": "762482111",
"telephone_number": "817-337-7941",
"fax_number": "817-337-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 RUFE SNOW DR STE 111",
"city": "KELLER",
"state": "TX",
"postal_code": "762482111",
"telephone_number": "817-337-7941",
"fax_number": "817-337-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAXTON",
"first_name": "BARTHOLOMEW",
"middle_name": "MACKAY",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-14",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.