Individual provider Active NPI

Dennis N McAfee, D.D.S.

  • General Practice Dentistry
  • Longview, TX
National Provider Identifier
1497869721
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10893 Issued in TX
Practice address
2904 N 4TH St
Suite 106
Longview, TX 75605-5129
Phone
(903) 758-3700
Fax
(903) 234-8658
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10893 TX Primary

Addresses

Primary practice location

2904 N 4TH St
Suite 106
Longview, TX 75605-5129

Mailing address

2904 N 4TH St
Suite 106
Longview, TX 75605-5129
Phone (903) 758-3700

Other identifiers 1

IdentifierTypeStateIssuer
454177OtherUNITED CONCORDIA INSURANC

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
10893TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lagrone and Adcock DDS 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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497869721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 N 4TH ST",
            "address_2": "SUITE 106",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055129",
            "telephone_number": "903-758-3700",
            "fax_number": "903-234-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 N 4TH ST",
            "address_2": "SUITE 106",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055129",
            "telephone_number": "903-758-3700",
            "fax_number": "903-234-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAFEE",
        "first_name": "DENNIS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANC",
            "identifier": "454177",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.