Organization Active NPI

Hatfield Dental Clinic PC

  • Dental Clinic/Center
  • La Grange, TX
National Provider Identifier
1568956589
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13463 Issued in TX
Legal business name
HATFIELD DENTAL CLINIC PC
Practice address
220 W. Guadalupe St.
La Grange, TX 78945-1926
Phone
(979) 208-8638
Fax
(979) 272-4563
NPI assigned
Jun 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Dr. Lawrence J Hatfield Jr., DDSNPI 1649351875
Title
President
Phone
(979) 208-8638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 13463 TX Primary

Addresses

Primary practice location

220 W. Guadalupe St.
La Grange, TX 78945-1926

Mailing address

220 W Guadalupe St
La Grange, TX 78945-1926
Phone (979) 208-8638

Other practice location 1

112 S. Main Street
Moulton, TX 77975
Phone (979) 208-8638

Other identifiers 1

IdentifierTypeStateIssuer
1649351875OtherNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1568956589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GUADALUPE ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451926",
            "telephone_number": "979-208-8638",
            "fax_number": "979-272-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W. GUADALUPE ST.",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451926",
            "telephone_number": "979-208-8638",
            "fax_number": "979-272-4563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 S. Main Street",
            "address_purpose": "LOCATION",
            "city": "Moulton",
            "state": "TX",
            "postal_code": "77975",
            "country_code": "US",
            "telephone_number": "979-208-8638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HATFIELD DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-208-8638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "13463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649351875",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.