Norman P Poorman, DDS, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

19347 Issued in TX

Practice address

2501 S Willis St
Ste C
Abilene, TX 79605-6287

Phone

(325) 692-9557

Fax

(325) 692-8316

NPI assigned

Aug 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Dentistry of Abilene

  • Dentist
  • Abilene, TX
  • NPI 1316083462
  NPD (past)

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1215193578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S WILLIS ST",
            "address_2": "STE C",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056287",
            "telephone_number": "325-692-9557",
            "fax_number": "325-692-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S WILLIS ST",
            "address_2": "STE C",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056287",
            "telephone_number": "325-692-9557",
            "fax_number": "325-692-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORMAN",
        "first_name": "NORMAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "19347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1316083462",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ponder Anesthesia PLLC
• Amber Dawn Ponder, CRNA
• Jonathon Todd Ponder, CRNA
• Cassandra Renee Poole, M.S. CF-SLP
• Kamdin Poorkiyani
• Molly Ann Pope, LPC
• Shalyn R Pope, AUDIOLOGISTS
• Maria Esteve Poradek, OTR
• Thomas Porch
• Leonarah Lavonne Porras, NP

• Pediatric Dentistry in Abilene, TX
• Providers in Abilene, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.