Gary Wayne Driver, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15402 Issued in TX

Practice address

1202 N Main St
Huntington, TX 75949-8424

Phone

(936) 422-4211

NPI assigned

Mar 29, 2007

Last updated

Jan 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smilesfromrainapllc

  dba Huntington Family Dental

  • Durable Medical Equipment & Medical Supplies
  • Huntington, TX
  • NPI 1730720780
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1164542841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "HUNTINGTON",
            "state": "TX",
            "postal_code": "759491078",
            "telephone_number": "936-422-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N MAIN ST",
            "city": "HUNTINGTON",
            "state": "TX",
            "postal_code": "759498424",
            "telephone_number": "936-422-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1208209-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Lauren Bryan, RDA
• Michelle Compton
• Angela Lynn Day, RN
• Distinct Focus on Life LP
• Jamie Dominy
• East Texas Acquisitions
• East TX DME Supply Inc (East TX DME)
• Linda F Havard
• Huntington Health Care & Rehabilitation Center LTD. (Huntington Health Care & Rehabilitation Center)
• Huntington Independent School District

• General Practice Dentistry in Huntington, TX
• Providers in Huntington, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.