Marcus Middlebrook, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38668 Issued in TX

Practice address

5017 Teasley LN Ste 165
Denton, TX 76210-3895

Phone

(940) 387-4597

NPI assigned

Jul 4, 2022

Last updated

Jul 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hickory Creek Dental Group and Orthodontics, PC

  dba Hickory Creek Dental Group and Orthodontics

  • General Practice Dentistry
  • Denton, TX
  • NPI 1770714800
  NPD (past)

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1518690924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 INDIAN HILLS DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 TEASLEY LN STE 165",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103895",
            "telephone_number": "940-387-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEBROOK",
        "first_name": "MARCUS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MH Health Care Services, PC (City of Denton Employee Health Center)
• Michael a. House, MD, PA
• Michael S. Auvenshine, M.D. (Medical Cliic of North Texas, P.A.)
• Mark Michalica, LPC
• Stuart Michnick, MD
• Paul G. Middleton, OD
• Leah Migala, MPAS,PA-C
• Monica Mikkilineni, M.D.
• Anna Christine Milius, M.S., NCC, LPC
• Angela Ruth Miller, BCBA

• General Practice Dentistry in Denton, TX
• Providers in Denton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.