Individual provider Active NPI

Myra Sotelo Gay, DDS

  • General Practice Dentistry
  • Harker Heights, TX
National Provider Identifier
1245343516
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19062 Issued in TX
Practice address
420 E FM 2410 Rd
Suite 104
Harker Heights, TX 76548-5717
Phone
(254) 699-3359
Fax
(254) 699-0597
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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 19062 TX Primary

Addresses

Primary practice location

420 E FM 2410 Rd
Suite 104
Harker Heights, TX 76548-5717

Mailing address

420 E FM 2410 Rd
Suite 104
Harker Heights, TX 76548-5717
Phone (254) 699-3359

Other identifiers 1

IdentifierTypeStateIssuer
1104057819OtherTXNPI

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
19062TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Killeen and Heights Dental Centers, PLLC General Practice PastSince Feb 13, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1245343516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E FM 2410 RD",
            "address_2": "SUITE 104",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485717",
            "telephone_number": "254-699-3359",
            "fax_number": "254-699-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E FM 2410 RD",
            "address_2": "SUITE 104",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485717",
            "telephone_number": "254-699-3359",
            "fax_number": "254-699-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "MYRA",
        "middle_name": "SOTELO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104057819",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.