Individual provider Active NPI

Howard Whitney Payne Jr., DDS MPH

  • General Practice Dentistry
  • Burleson, TX
National Provider Identifier
1275864886
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13367 Issued in TX
Practice address
699 NE Alsbury Blvd
Burleson, TX 76028-2660
Phone
(817) 295-3070
Fax
(817) 295-3250
NPI assigned
Jan 21, 2010
Last updated
Jan 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13367 TX Primary

Addresses

Primary practice location

699 NE Alsbury Blvd
Burleson, TX 76028-2660

Mailing address

699 NE Alsbury Blvd
Burleson, TX 76028-2660
Phone (817) 295-3070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421000752 TX Order and Referring Only - DentistPractitioner - Dentist 3971801135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13667TXMDProfessional Counselor
13367TXMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alsbury Dental General Practice Past Accepting new patients
Alsbury and Lifeway Dental PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1275864886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 NE ALSBURY BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282660",
            "telephone_number": "817-295-3070",
            "fax_number": "817-295-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 NE ALSBURY BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282660",
            "telephone_number": "817-295-3070",
            "fax_number": "817-295-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "HOWARD",
        "middle_name": "WHITNEY",
        "name_suffix": "Jr.",
        "credential": "DDS MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.