Active NPI
Paul Dabney, D.D.S.
- Dentist
- Copperas Cove, TX
National Provider Identifier
1568617843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14486
- Practice address
- 2726 E Business 190 Ste 112
Copperas Cove, TX 76522-2526 - Phone
- (254) 987-6311
- NPI assigned
- Nov 30, 2008
- Last updated
- Dec 4, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14486 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 14486 | TX |
Addresses
Primary practice location
2726 E Business 190 Ste 112
Copperas Cove, TX 76522-2526
Mailing address
236 Prato PL
Georgetown, TX 78628-2170
Phone (512) 948-1020
Other practice location 1
581 University Blvd Ste 400
Round Rock, TX 78665-1068
Phone (512) 244-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999999999 | Medicaid | TX |
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 |
|---|---|---|---|
| 14486 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tphan Dental PLLC | Dentist | Current | Accepting new patients |
Locations
581 University Blvd
Ste 400
Round Rock, TX 78665
Phone (512) 244-3333
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1568617843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 PRATO PL",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282170",
"telephone_number": "512-948-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 E BUSINESS 190 STE 112",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765222526",
"telephone_number": "254-987-6311"
}
],
"practiceLocations": [
{
"address_1": "581 University Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786651068",
"country_code": "US",
"telephone_number": "512-244-3333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DABNEY",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-30",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "14486",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14486",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "999999999",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.