Individual provider Active NPI

Michael Whitcomb, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Grapevine, TX
National Provider Identifier
1164937769
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
U5558 Issued in TX
Practice address
1612 Lancaster Dr
Grapevine, TX 76051-3544
Phone
(817) 329-4979
NPI assigned
Dec 5, 2017
Last updated
Oct 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39362 TX
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X U5558 TX Primary

Addresses

Primary practice location

1612 Lancaster Dr
Grapevine, TX 76051-3544

Mailing address

1612 Lancaster Dr
Grapevine, TX 76051-3544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126001784 TX Practitioner - Oral Surgery 8921332214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Boston Univ Goldman School of Dental Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunter Spingola Buchmann and Brown PartnershipGroup PAC ID 3173605276, 6 clinicians

Practice addresses (Care Compare)

1612 Lancaster Dr
Grapevine, TX 76051-3544
Phone (817) 329-4979

4130 Justin Rd
Suite 105
Flower Mound, TX 75077-7230
Phone (972) 371-0125

440 W Interstate Hwy 635
Suite 445
Irving, TX 75063-3768
Phone (972) 401-8301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39362TXMDDentist
U5558TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Spingola Buchmann & Brown Partnership CurrentSince Dec 4, 2023 Accepting new patients

Locations

4130 Justin Rd
Ste 105
Flower Mound, TX 75077
Phone (972) 371-0125

1612 Lancaster Dr
Grapevine, TX 76051
Phone (817) 329-4979

440 W Lyndon B Johnson Fwy
Ste 445
Irving, TX 75063
Phone (972) 401-8301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1164937769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 LANCASTER DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 LANCASTER DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513544",
            "telephone_number": "817-329-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39362",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "U5558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.