Haleigh Nicole Renfroe, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37315 Issued in TX

Practice address

300 E 5TH St
Tyler, TX 75701-4225

Phone

(903) 592-1992

NPI assigned

Jul 6, 2021

Last updated

Feb 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1265003875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014225",
            "telephone_number": "903-592-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014225",
            "telephone_number": "903-592-1992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 University Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757016610",
            "country_code": "US",
            "telephone_number": "903-592-6535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENFROE",
        "first_name": "HALEIGH",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Care Group Texas, Inc. (Watson Wise Dialysis Center)
• Renal Center of Tyler, LP, LLLP (Renal Center Of Tyler)
• Renal Center of Waterton, LLLP (Renal Center of Waterton)
• Mark B Renfro, MD
• Devyn Paige Renfroe, PTA
• Julee G Renfroe, RN
• Thomas Wilson Renfroe Jr., PSY.D
• Nycole Jeanne Renfrow, RBT
• Rebecca Anne Renfrow, LPC
• Deborah Renneker, LCSW

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.