Charles Caleb Spurlock, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

TX 23366 Issued in TX

Practice address

1203 West Dogwood Street
Woodville, TX 75979-4756

Phone

(409) 283-3721

Fax

(409) 283-5448

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C. Caleb Spurlock, DDS, PLLC

  • General Practice Dentistry
  • Woodville, TX
  • NPI 1881932531
  NPD (past) Authorized official
• Brian Babin DDS

  • General Practice Dentistry
  • Woodville, TX
  • NPI 1255509063
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1306037569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WEST DOGWOOD STREET",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794756",
            "telephone_number": "409-283-3721",
            "fax_number": "409-283-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 WEST DOGWOOD STREET",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794756",
            "telephone_number": "409-283-3721",
            "fax_number": "409-283-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLOCK",
        "first_name": "CHARLES",
        "middle_name": "CALEB",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX 23366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robbie Spencer, FNP
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• April Nicole Taylor, FNP-C
• TCH Family Practice Clinic
• The Children'S Clinic of Woodville , PLLC
• Therapy Takeaways, LLC

• All providers in Woodville, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.