Organization Active NPI

Jonathan M. Payne III DDS Inc

  • Periodontics
  • Dallas, TX
National Provider Identifier
1427266394
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
JONATHAN M. PAYNE III DDS INC
Practice address
6141 Sherry LN
Dallas, TX 75225-6302
Phone
(214) 691-2614
Fax
(214) 691-0814
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jonathan M Payne III, DDS MSDNPI 1467552976
Title
President
Phone
(214) 691-2614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X TX Primary

Addresses

Primary practice location

6141 Sherry LN
Dallas, TX 75225-6302

Mailing address

6141 Sherry LN
Dallas, TX 75225-6302
Phone (214) 691-2614

National Provider Directory

National Provider Directory

Locations

6141 Sherry Ln
Dallas, TX 75225
Phone (214) 691-2614

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427266394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256302",
            "telephone_number": "214-691-2614",
            "fax_number": "214-691-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256302",
            "telephone_number": "214-691-2614",
            "fax_number": "214-691-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN M. PAYNE III DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-691-2614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.