Elmer Terrell Hodges, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9593 Issued in TX

Practice address

4849 Greenville Ave
Suite 173
Dallas, TX 75206-4130

Phone

(214) 369-9966

Fax

(214) 368-0809

NPI assigned

Nov 16, 2006

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 names 1

• Mr. Terrell Hodges Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Bill Blandford DDS PC

  dba Energy Square Dental Group

  • Customized Equipment (DME)
  • Dallas, TX
  • NPI 1295096618
  NPD (past)
• Dental Professionals of Texas, P.a.

  dba Energy Square Dental

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1114453081
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225101439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 GREENVILLE AVE",
            "address_2": "SUITE 173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064130",
            "telephone_number": "214-369-9966",
            "fax_number": "214-368-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 GREENVILLE AVE",
            "address_2": "SUITE 173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064130",
            "telephone_number": "214-369-9966",
            "fax_number": "214-368-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "ELMER",
        "middle_name": "TERRELL",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "9593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRELL",
            "last_name": "HODGES",
            "prefix": "MR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jonathan Hodel
• Julie T Hodge Macduff, MD
• Nicole C Hodge, MD
• Cara Hodges
• Charlotte Ann Hodges, MD
• Frederick Collins Hodges III, PSY.D.
• Gayle Elizabeth Hodges, PH.D.
• Hannah Rose Hodges
• Kaneaster Hodges IV, LPC
• Kelly Hodges

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.