Dr. Wade Phelps

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. WADE PHELPS

Practice address

330 W Liveoak St
Kenedy, TX 78119-2326

Phone

(830) 583-9891

NPI assigned

Apr 14, 2008

Last updated

Apr 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wade Phelps

Title

Owner

Phone

(830) 583-9891

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1346414174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W LIVEOAK ST",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781192326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W LIVEOAK ST",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781192326",
            "telephone_number": "830-583-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WADE PHELPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-583-9891",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Seal Byers, M.D.
• Jessica Lynn Chapa
• Pamela Dawn Clark, FNP
• Dewitt Medical District
• Dr. Benjamin D. Ernst, D.O. LTD. LLP
• Frontier Pharmacy of Kenedy Inc
• Patricia Galindo
• Patrick Alvarado Garcez, LCSW
• Rosalinda Glover, LPC
• Gracia Medical, LLP (Kenedy Family Practice and Obstetrics)

• General Practice Dentistry in Kenedy, TX
• Providers in Kenedy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.