Active NPI
Wayde Fawcett, D.D.S.
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1275700171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14301
- Practice address
- 13956 Cutten Rd
Houston, TX 77069-2215 - Phone
- (281) 440-6648
- Fax
- (281) 440-4120
- NPI assigned
- May 11, 2008
- Last updated
- May 11, 2008
- 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 | 14301 | TX | Primary |
Addresses
Primary practice location
13956 Cutten Rd
Houston, TX 77069-2215
Mailing address
13956 Cutten Rd
Houston, TX 77069-2215
Phone (281) 440-6648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 459941 | Other | TX | UCCI |
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 |
|---|---|---|---|
| 14301 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TX Southern Dental PC | Past | Accepting new patients | |
| Fawcett Center for Dentistry, PA | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Houston, TX
- NPI 1558363036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210464000000",
"number": "1275700171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13956 CUTTEN RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770692215",
"telephone_number": "281-440-6648",
"fax_number": "281-440-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13956 CUTTEN RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770692215",
"telephone_number": "281-440-6648",
"fax_number": "281-440-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWCETT",
"first_name": "WAYDE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-11",
"last_updated": "2008-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCCI",
"identifier": "459941",
"state": "TX"
}
],
"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 May 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.