Active NPI
Gary Mobley, DDS, M.SC.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Denison, TX
National Provider Identifier
1265436992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- TX9690
- Practice address
- 2230 Eisenhower Parkway
Denison, TX 75020 - Phone
- (903) 463-6013
- Fax
- (903) 463-1442
- NPI assigned
- Jun 10, 2005
- Reactivated
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | TX9690 | TX | Primary |
Addresses
Primary practice location
2230 Eisenhower Parkway
Denison, TX 75020
Mailing address
2230 Eisenhower Parkway
Denison, TX 75020
Phone (903) 463-6013
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 |
|---|---|---|---|
| TX9690 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1265436992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 EISENHOWER PARKWAY",
"city": "DENISON",
"state": "TX",
"postal_code": "75020",
"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 EISENHOWER PARKWAY",
"city": "DENISON",
"state": "TX",
"postal_code": "75020",
"telephone_number": "903-463-6013",
"fax_number": "903-463-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBLEY",
"first_name": "GARY",
"credential": "DDS, M.SC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2010-04-14",
"deactivation_date": "2006-03-15",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "TX9690",
"primary": true
}
],
"identifiers": [],
"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 Apr 14, 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.