Active NPI
Jack Tracy Mills
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1245344381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9869
- Practice address
- 1011 Highway 6 South
Ste 300
Houston, TX 77077 - Phone
- (281) 556-1606
- Fax
- (281) 556-1438
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9869 | TX | Primary |
Addresses
Primary practice location
1011 Highway 6 South
Ste 300
Houston, TX 77077
Mailing address
5491 Brewer Rd
Sealy, TX 77474
Phone (979) 885-3667
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9869 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan T. Hill, DDS, PLLC | General Practice | Past | Accepting new patients |
| J T Mills D M D | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Houston, TX
- NPI 1235334004
-
- General Practice Dentistry
- Houston, TX
- NPI 1396533758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1245344381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5491 BREWER RD",
"city": "SEALY",
"state": "TX",
"postal_code": "77474",
"telephone_number": "979-885-3667",
"fax_number": "979-885-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 HIGHWAY 6 SOUTH",
"address_2": "STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77077",
"telephone_number": "281-556-1606",
"fax_number": "281-556-1438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "JACK",
"middle_name": "TRACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "9869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.