NPIMap

Organization Active NPI

Regence Health Network, Inc.

  • General Practice Dentistry
  • Amarillo, TX
National Provider Identifier
1295952018
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
REGENCE HEALTH NETWORK, INC.
Practice address
850 Martin Rd
Amarillo, TX 79107-6814
Phone
(806) 374-7341
Fax
(806) 374-0316
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Rick Love
Title
Ceo
Phone
(806) 293-8561

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Federally Qualified Health Center (FQHC) 261QF0400X F1756 TX

Addresses

Primary practice location

850 Martin Rd
Amarillo, TX 79107-6814

Mailing address

2801 W 8TH St
Plainview, TX 79072-6737
Phone (806) 293-8561

Other identifiers 1

IdentifierTypeStateIssuer
135077909MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Sphpo Plainview5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1295952018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W 8TH ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790726737",
            "telephone_number": "806-293-8561",
            "fax_number": "806-293-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MARTIN RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791076814",
            "telephone_number": "806-374-7341",
            "fax_number": "806-374-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCE HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-293-8561"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "F1756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135077909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.