NPIMap

Organization Active NPI

Gary Mobley DDS Inc

  • Dental Clinic/Center
  • Denison, TX
National Provider Identifier
1245468982
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
TX9690 Issued in TX
Legal business name
GARY MOBLEY DDS INC
Practice address
2230 S Eisenhower Pkwy
Denison, TX 75020-7724
Phone
(903) 463-6013
Fax
(903) 463-1442
NPI assigned
Jul 1, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Gary Mobley, DDS,M.SC.NPI 1265436992
Title
President
Phone
(903) 463-6013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X TX9690 OK
Dental Clinic/Center 261QD0000X TX9690 TX Primary

Addresses

Primary practice location

2230 S Eisenhower Pkwy
Denison, TX 75020-7724

Mailing address

2230 S Eisenhower Pkwy
Denison, TX 75020-7724
Phone (903) 463-6013

Other identifiers 3

IdentifierTypeStateIssuer
1265436992OtherTXNPI PRACTICE
009239702MedicaidTX
1265436992OtherOKNPI PRACTICE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1245468982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 S EISENHOWER PKWY",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750207724",
            "telephone_number": "903-463-6013",
            "fax_number": "903-463-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 S EISENHOWER PKWY",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750207724",
            "telephone_number": "903-463-6013",
            "fax_number": "903-463-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY MOBLEY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-463-6013",
        "authorized_official_credential": "DDS,M.SC."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "TX9690",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "TX9690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PRACTICE",
            "identifier": "1265436992",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009239702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PRACTICE",
            "identifier": "1265436992",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.