Active NPI
Jeremy F. Catmull, DMD
- Pediatric Dentistry
- Frisco, TX
National Provider Identifier
1174811871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 31797
- Practice address
- 15950 Eldorado Pkwy
Frisco, TX 75035-5802 - Phone
- (972) 542-5438
- NPI assigned
- Jul 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN.00202066 | CO | |
| Pediatric Dentistry | 1223P0221X | 31797 | TX | Primary |
Addresses
Primary practice location
15950 Eldorado Pkwy
Frisco, TX 75035-5802
Mailing address
15950 Eldorado Pkwy
Frisco, TX 75035-5802
Phone (972) 542-5438
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 |
|---|---|---|---|
| DEN.00202066 | CO | MD | Pediatric Dentist |
| 31797 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1174811871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15950 ELDORADO PKWY",
"city": "FRISCO",
"state": "TX",
"postal_code": "750355802",
"telephone_number": "972-542-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15950 ELDORADO PKWY",
"city": "FRISCO",
"state": "TX",
"postal_code": "750355802",
"telephone_number": "972-542-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATMULL",
"first_name": "JEREMY",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-14",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "DEN.00202066",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "31797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
- Casus Healthcare, LLC (Legacy ER)
- Casus Healthcare, LLC
- Catalyst Anesthesia Associates, PA
- Catherine a. Holt, MD, P.a.
- Jazmine Alexus Catherson
- Bear Bruce Causseaux, FNP
- Chad Manly Caussey, D.C.
- Cavalier Joy & Crown Pediatric Specialists, PLLC (Joy & Crown Pediatric Specialists, PLLC)
- Mary Ellen Cavalier, MD
- Julie Cavitt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.