Active NPI
Henry Eugene McLemore, DDS
- Dentist
- San Augustine, TX
National Provider Identifier
1164544490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7516
- Practice address
- 306 Maple St
San Augustine, TX 75972-2322 - Phone
- (936) 275-2354
- Fax
- (936) 275-4410
- NPI assigned
- Apr 6, 2007
- Last updated
- Jul 8, 2007
- 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 | 7516 | TX | Primary |
Addresses
Primary practice location
306 Maple St
San Augustine, TX 75972-2322
Mailing address
306 Maple
PO Box592
San Augustine, TX 75972-0592
Phone (936) 275-2354
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 |
|---|---|---|---|
| 7516 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164544490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 MAPLE",
"address_2": "PO BOX592",
"city": "SAN AUGUSTINE",
"state": "TX",
"postal_code": "759720592",
"telephone_number": "936-275-2354",
"fax_number": "936-275-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 MAPLE ST",
"city": "SAN AUGUSTINE",
"state": "TX",
"postal_code": "759722322",
"telephone_number": "936-275-2354",
"fax_number": "936-275-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEMORE",
"first_name": "HENRY",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "7516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Augustine, TX
- Gregory Landerman
- Lisa Michelle Lane
- Charles K Layton, DDS
- Liberty County Hospital District No. 1 (Colonial Pines Healthcare Center)
- Mathews Rental Inc
- Memorial Hospital San Augustine
- Memorial Medical Center San Augustine (CHI St. Luke's Health Memorial San Augustine)
- Memorial Medical Center-San Augustine (San Augustine Rural Health Clinic)
- Memorial Medical Center-San Augustine (San Augustine Dialysis Clinic)
- Mariana Mendoza, FNP-C
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.