Arthur George Paddock III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13931 Issued in TX

Practice address

921 Shiloh Rd
Suite C100
Tyler, TX 75703-1431

Phone

(972) 310-0331

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1417053513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SHILOH RD",
            "address_2": "SUITE C100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031431",
            "telephone_number": "972-310-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SHILOH RD",
            "address_2": "SUITE C100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031431",
            "telephone_number": "972-310-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "ARTHUR",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacdan Inc
• Cheryl Ruth Pace, LPC
• Tracy Pace
• William Arthur Pace, L.P.C.
• Ajay Pachika, M.D.
• Jamilah Padgett
• Oscar Padilla Rios, CNIM 3338
• Cherlyn Paez
• John Jason Page, DO, PA
• Mariafe Pagne

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, 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 Oct 10, 2016; 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.