Individual provider Active NPI

Henry Texer, Jr., DDS

  • Dentist
  • Wyoming, MI
National Provider Identifier
1447476130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D10494 Issued in MI
Practice address
2757 44TH St SW
303
Wyoming, MI 49519-4192
Phone
(616) 538-1050
Fax
(616) 831-6712
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D10494 MI Primary

Addresses

Primary practice location

2757 44TH St SW
303
Wyoming, MI 49519-4192

Mailing address

2757 44TH St SW
303
Wyoming, MI 49519-4192
Phone (616) 538-1050

Other identifiers 2

IdentifierTypeStateIssuer
D104940OtherMIBLUE CROSS & BLUE SHIELD
4037321MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D10494MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Henry Texer Jr DDS PC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447476130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 44TH ST SW",
            "address_2": "303",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194192",
            "telephone_number": "616-538-1050",
            "fax_number": "616-831-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 44TH ST SW",
            "address_2": "303",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194192",
            "telephone_number": "616-538-1050",
            "fax_number": "616-831-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEXER, JR.",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "D10494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "D104940",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4037321",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.