Active NPI
John M Patterson, DDS
- Dentist
- Lufkin, TX
National Provider Identifier
1528184009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12046
- Practice address
- 102 Christie
Lufkin, TX 75904 - Phone
- (936) 634-6110
- Fax
- (936) 634-8641
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12046 | TX | Primary |
Addresses
Primary practice location
102 Christie
Lufkin, TX 75904
Mailing address
102 Christie
Lufkin, TX 75904
Phone (936) 634-6110
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12046 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Alyse Dental Group, PLLC | Past | Accepting new patients | |
| Dental Center of Lufkin | Dentist | 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.
-
- Dentist
- Lufkin, TX
- NPI 1891811394
-
- General Practice Dentistry
- Lufkin, TX
- NPI 1245738137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528184009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CHRISTIE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "75904",
"telephone_number": "936-634-6110",
"fax_number": "936-634-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CHRISTIE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "75904",
"telephone_number": "936-634-6110",
"fax_number": "936-634-8641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JOHN",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "12046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.