Active NPI
George O'Neal, DDS
- Dentist
- Mt Pleasant, TX
National Provider Identifier
1154438356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6907
- Practice address
- 820 North Van Buren Avenue
Mt Pleasant, TX 75455 - Phone
- (903) 572-5635
- Fax
- (903) 572-1183
- NPI assigned
- Aug 24, 2006
- 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 | 6907 | TX | Primary |
Addresses
Primary practice location
820 North Van Buren Avenue
Mt Pleasant, TX 75455
Mailing address
820 North Van Buren Avenue
Mt Pleasant, TX 75455
Phone (903) 572-5635
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 |
|---|---|---|---|
| 6907 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahid Dental Group Satellite, PLLC | 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.
-
- Dental Clinic/Center
- Mt Pleasant, TX
- NPI 1427764828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154438356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 NORTH VAN BUREN AVENUE",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "75455",
"telephone_number": "903-572-5635",
"fax_number": "903-572-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 NORTH VAN BUREN AVENUE",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "75455",
"telephone_number": "903-572-5635",
"fax_number": "903-572-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "GEORGE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "6907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, TX
- Northeast Texas Plastic Surgery, PA
- Northeast Texas Radiology Consultants
- Northeast Texas Surgical Specialists PLLC
- Northeast Texas Womens Health P a
- Megan Nye, D.C.
- Shae Ochoa, DDS MS
- Justin Brandt Olinde, M.D.
- Whitney Oney
- Organizational Consultants of America Orca, Inc.
- Organizational Consultants of America: Orca, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.