Abilene Endodontics, PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ABILENE ENDODONTICS, PC

Practice address

5849 Buffalo Gap Road
Suite C
Abilene, TX 79606

Phone

(325) 704-5001

Fax

(325) 704-5141

NPI assigned

Sep 21, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chad R Southard, FACHE, FHFMA, CMPE

Title

Administrator

Phone

(325) 704-5001

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Ryan B Gibson, DMD

  • Endodontics
  • Abilene, TX
  • NPI 1316304827
  NPD
• James McIntosh, DDS

  • Endodontics
  • Abilene, TX
  • NPI 1265039663
  NPD
• Jeremy Ward Fike, D.D.S.

  • Endodontics
  • Abilene, TX
  • NPI 1295000396
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255840351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 BUFFALO GAP ROAD",
            "address_2": "SUITE C",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-704-5001",
            "fax_number": "325-704-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 BUFFALO GAP ROAD",
            "address_2": "SUITE C",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-704-5001",
            "fax_number": "325-704-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SOUTHARD",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-704-5001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE, FHFMA, CMPE"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abilene Christian University
• Abilene Dental Care South PLLC
• Abilene Dermatology and Skin Surgery Center PC
• Abilene Emergency Physicians Staffing PA
• Abilene Endocrinology, P.a.
• Abilene Eye ASC LP (Abilene Cataract and Refractive Surgery Center)
• Abilene Eye Care, Inc.
• Abilene Eye Institute Lab (Abilene Eye Institute)
• Abilene Family and Cosmetic Dentistry, PLLC
• Abilene Family Counseling

• Endodontics in Abilene, TX
• Providers in Abilene, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.