Jerry H Hidlebaugh DDS and Associates, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8188 Issued in TX

Legal business name

JERRY H HIDLEBAUGH DDS AND ASSOCIATES, PLLC

Practice address

202 E Weaver Ave
Alvarado, TX 76009-4375

Phone

(817) 783-2173

Fax

(817) 783-2632

NPI assigned

Feb 16, 2015

Last updated

Feb 16, 2015By 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

Mrs. Wendy Brice

Title

Owner

Phone

(817) 783-2173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1356732184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E WEAVER AVE",
            "city": "ALVARADO",
            "state": "TX",
            "postal_code": "760094375",
            "telephone_number": "817-783-2173",
            "fax_number": "817-783-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E WEAVER AVE",
            "city": "ALVARADO",
            "state": "TX",
            "postal_code": "760094375",
            "telephone_number": "817-783-2173",
            "fax_number": "817-783-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY H HIDLEBAUGH DDS AND ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "BRICE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-783-2173",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Harold Hidlebaugh, D.D.S.
• Angeline Higgins, REGISTER NURSE
• Jennifer Holmes, MSN, FNP-C
• Chelsie Chanae Huntley
• Angela James, LVN
• Ronald James Kramer, CERTIFIED ORTHOTIC F
• Tristan Lee, BVSC
• Lifeway Dental
• Silvester Obaga Manduku, NP
• Manos de Maya LLC.

• General Practice Dentistry in Alvarado, TX
• Providers in Alvarado, 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 Feb 16, 2015; 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.