Individual provider Active NPI

Miguel Palou

  • Periodontics
  • Denison, TX
National Provider Identifier
1467511329
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
15656 Issued in TX
Practice address
2415 S Austin Ave
Ste 101
Denison, TX 75020-7741
Phone
(903) 327-8540
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 15656 TX Primary

Addresses

Primary practice location

2415 S Austin Ave
Ste 101
Denison, TX 75020-7741

Mailing address

2415 S Austin Ave
Ste 101
Denison, TX 75020-7741
Phone (903) 327-8540

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15656TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirby Joe Robinson of Texas, DDS, P.C. Past Accepting new patients
Affordable Dentures & Implants - Texas, PLLC Past Accepting new patients

Organizations & group practices 2

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1467511329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 S AUSTIN AVE",
            "address_2": "STE 101",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750207741",
            "telephone_number": "903-327-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 S AUSTIN AVE",
            "address_2": "STE 101",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750207741",
            "telephone_number": "903-327-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOU",
        "first_name": "MIGUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "15656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.