Individual provider Active NPI

Bart Alan Deering, D.D.S.

  • General Practice Dentistry
  • Garland, TX
National Provider Identifier
1205915683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15488 Issued in TX
Practice address
3232 Broadway Blvd
Suite H
Garland, TX 75043-1586
Phone
(972) 271-4545
Fax
(972) 271-4544
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15488 TX Primary

Addresses

Primary practice location

3232 Broadway Blvd
Suite H
Garland, TX 75043-1586

Mailing address

3232 Broadway Blvd
Suite H
Garland, TX 75043-1586
Phone (972) 271-4545

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
I20160301001664 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3678878592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205915683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 BROADWAY BLVD",
            "address_2": "SUITE H",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431586",
            "telephone_number": "972-271-4545",
            "fax_number": "972-271-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 BROADWAY BLVD",
            "address_2": "SUITE H",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431586",
            "telephone_number": "972-271-4545",
            "fax_number": "972-271-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERING",
        "first_name": "BART",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.