Active NPI
Steven Lee Regan, DDS
- General Practice Dentistry
- Clifton, TX
National Provider Identifier
1518980010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18812
- Practice address
- 102 S Avenue T
Clifton, TX 76634-1833 - Phone
- (254) 675-8301
- Fax
- (254) 675-6505
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18812 | TX | Primary |
Addresses
Primary practice location
102 S Avenue T
Clifton, TX 76634-1833
Mailing address
102 S Avenue T
Clifton, TX 76634-1833
Phone (254) 675-8301
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18812 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1518980010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S AVENUE T",
"city": "CLIFTON",
"state": "TX",
"postal_code": "766341833",
"telephone_number": "254-675-8301",
"fax_number": "254-675-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S AVENUE T",
"city": "CLIFTON",
"state": "TX",
"postal_code": "766341833",
"telephone_number": "254-675-8301",
"fax_number": "254-675-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "STEVEN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "18812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.