Individual provider Active NPI

Christopher S Mohr, DDS

  • General Practice Dentistry
  • Pampa, TX
National Provider Identifier
1457606386
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34657 Issued in TX
Practice address
2427 N Hobart St
Pampa, TX 79065-2723
Phone
(806) 665-0921
Fax
(806) 665-0822
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00201802 CO
General Practice Dentistry 1223G0001X 34657 TX Primary

Addresses

Primary practice location

2427 N Hobart St
Pampa, TX 79065-2723

Mailing address

2427 N Hobart St
Pampa, TX 79065-2723
Phone (806) 665-0921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160106000237 CO Order and Referring Only - DentistPractitioner - Dentist 5799087946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34657TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pampa Dental Arts PLLC General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1457606386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 N HOBART ST",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652723",
            "telephone_number": "806-665-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 N HOBART ST",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652723",
            "telephone_number": "806-665-0921",
            "fax_number": "806-665-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00201802",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pampa, TX

Sources for this page

Verify at the official NPI Registry.