Organization Active NPI

David J Purdy DDS, PC

  • General Practice Dentistry
  • Hereford, TX
National Provider Identifier
1174945596
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13674 Issued in TX
Legal business name
DAVID J PURDY DDS, PC
Practice address
809 W Park Ave
Hereford, TX 79045-4001
Phone
(806) 364-4496
Fax
(806) 364-4981
NPI assigned
Jan 21, 2014
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. David J Purdy, DDSNPI 1154457075
Title
Doctor/Owner
Phone
(806) 364-4496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13674 TX Primary

Addresses

Primary practice location

809 W Park Ave
Hereford, TX 79045-4001

Mailing address

809 W Park Ave
Hereford, TX 79045-4001
Phone (806) 364-4496

National Provider Directory

National Provider Directory

Locations

809 W Park Ave
Hereford, TX 79045
Phone (806) 364-4496

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1174945596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W PARK AVE",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790454001",
            "telephone_number": "806-364-4496",
            "fax_number": "806-364-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W PARK AVE",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790454001",
            "telephone_number": "806-364-4496",
            "fax_number": "806-364-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J PURDY DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "806-364-4496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hereford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.