Active NPI
Hector Trevino
- General Practice Dentistry
- Port Arthur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31910
- Practice address
- 2780 FM 365
Port Arthur, TX 77640 - Phone
- (409) 433-9254
- NPI assigned
- Aug 16, 2016
- Last updated
- Aug 16, 2016
- 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 | 31910 | TX | Primary |
Addresses
Primary practice location
2780 FM 365
Port Arthur, TX 77640
Mailing address
6101 Glenbrook LN W
Indian Head Park, IL 60525-6998
Phone (956) 832-3196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | General Practice | Current | Accepting new patients |
| Community Healthnet Inc | Current | Accepting new patients | |
| Community Healthnet Inc | Current | Accepting new patients | |
| Community Healthnet Inc | Past | Accepting new patients |
Locations
1021 W 5th Ave
Gary, IN 46402
3503 Martin Luther King Dr
Gary, IN 46409
Phone (219) 293-8843
6091 Broadway
Merrillville, IN 46410
Phone (219) 763-8944
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- hector.trevino.p1@direct.northshorehealth.nextgenshare.com
Organizations & group practices 6
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.
-
- Community Health Clinic/Center
- Gary, IN
- NPI 1952332298
-
dba NorthShore Regional Health Centers
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
-
- Federally Qualified Health Center (FQHC)
- Hammond, IN
- NPI 1811650716
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
dba Merrillville Health Center
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1477810315
General Practice
-
dba Morton High School
- Federally Qualified Health Center (FQHC)
- Hammond, IN
- NPI 1164161469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1306391719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 GLENBROOK LN W",
"city": "INDIAN HEAD PARK",
"state": "IL",
"postal_code": "605256998",
"telephone_number": "956-832-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 FM 365",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "77640",
"telephone_number": "409-433-9254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "HECTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-16",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Arthur, TX
- Transcendent Eye Care PLLC (Transcendent Eye Care)
- Treasure Care
- Treasure Care
- Treasure Care LLC.
- Treasure Services Incorporated
- Treymore, Inc. (Cypress Glen Nursing & Rehab)
- Triangle Therapeutics
- Hong Catherine Trinh, MD
- Trinity Audiology Specialists, PLLC
- Trinity Hearing and Balance Centers of Texas, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.