Joe R. Gorham DDS,Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

7599 Issued in TX

Legal business name

JOE R. GORHAM DDS,INC.

Practice address

2222 N Prairie Creek Rd
Dallas, TX 75227-8101

Phone

(214) 388-7416

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jean M Bader

Title

Dental Hygienist

Phone

(214) 388-7416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1235560574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N PRAIRIE CREEK RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278101",
            "telephone_number": "214-388-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N PRAIRIE CREEK RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278101",
            "telephone_number": "214-388-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE R. GORHAM DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "214-388-7416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "7599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan W Garner Psy D PC
• Joann M Beckett Rnfa
• Selcy Joby
• David Kertt Jodie, D.C.
• Jason Michael Jodoin, D.C.
• Elayne Faith Joe
• Johnny Fong Joe, R.PH.
• Marie Katrina Joe, OTR
• Tiffany Joe, MS, CCC-SLP; IBCLC
• Tram Joe, RPH

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.