Active NPI
Andrew M Read-Fuller
- Oral & Maxillofacial Surgery (D.M.D.)
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- R2208
- Practice address
- 3302 Gaston Ave
Dallas, TX 75246-2013 - Phone
- (212) 828-8965
- NPI assigned
- Mar 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | R2208 | TX | Primary |
Addresses
Primary practice location
3302 Gaston Ave
Dallas, TX 75246-2013
Mailing address
1855 Payne St Apt 619
Dallas, TX 75201-2577
Other practice location 1
421 Wayne Ave # A
Oakland, CA 94606-1150
Phone (510) 387-6233
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Univ of Calif, Los Angeles School of Dentistry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Gaston Ave
Dallas, TX 75226-1309
Phone (214) 828-8100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31760 | TX | MD | Psychologist |
| R2208 | TX | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas a&M University System Health Science Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Texas A&M School of Dentistry
- Oral & Maxillofacial Surgery (D.M.D.)
- Dallas, TX
- NPI 1912918798
-
dba Texas A&M Physicians
- Family Medicine Physician
- Bryan, TX
- NPI 1063699312
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1194024190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 PAYNE ST APT 619",
"city": "DALLAS",
"state": "TX",
"postal_code": "752012577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462013",
"telephone_number": "212-828-8965"
}
],
"practiceLocations": [
{
"address_1": "421 Wayne Ave # A",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946061150",
"country_code": "US",
"telephone_number": "510-387-6233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "READ-FULLER",
"first_name": "ANDREW",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-16",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TX",
"license": "R2208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.