Individual provider Active NPI

Walter Daniel Gaffney Jr., DDS, MDS

  • Endodontics
  • Friendswood, TX
National Provider Identifier
1205942950
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
17138 Issued in TX
Practice address
1305 West Parkwood (FM 528)
Suite 111
Friendswood, TX 77546-5724
Phone
(281) 992-9900
Fax
(281) 992-9906
NPI assigned
Aug 22, 2006
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 17138 TX Primary

Addresses

Primary practice location

1305 West Parkwood (FM 528)
Suite 111
Friendswood, TX 77546-5724

Mailing address

1305 West Parkwood (Fm528)
Suite 111
Friendswood, TX 77546-5724
Phone (281) 992-9900

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

LicenseStateTypeSpecialty
17138TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1205942950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WEST PARKWOOD (FM528)",
            "address_2": "SUITE 111",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465724",
            "telephone_number": "281-992-9900",
            "fax_number": "281-992-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WEST PARKWOOD (FM 528)",
            "address_2": "SUITE 111",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465724",
            "telephone_number": "281-992-9900",
            "fax_number": "281-992-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "WALTER",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "17138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.