Active NPI
George Wade Hundley Jr., DDS
- Dentist
- Boerne, TX
National Provider Identifier
1285735613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15726
- Practice address
- 128 Medical Dr
Boerne, TX 78006 - Phone
- (830) 249-3531
- Fax
- (830) 249-1701
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 15726 | TX | Primary |
Addresses
Primary practice location
128 Medical Dr
Boerne, TX 78006
Mailing address
128 Medical Dr
Boerne, TX 78006
Phone (830) 249-3531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 23, 2016 through Jun 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15726 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285735613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 MEDICAL DR",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-249-3531",
"fax_number": "830-249-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 MEDICAL DR",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-249-3531",
"fax_number": "830-249-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNDLEY",
"first_name": "GEORGE",
"middle_name": "WADE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "15726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.