Individual provider Active NPI

Euclid Newton McLeod Jr., D.D.S.

  • General Practice Dentistry
  • Georgetown, TX
National Provider Identifier
1578747325
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9427 Issued in TX
Practice address
1 Citizens PLZ
1102 S. Main St.
Georgetown, TX 78626-5825
Phone
(512) 863-2585
Fax
(512) 863-2586
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9427 TX Primary

Addresses

Primary practice location

1 Citizens PLZ
1102 S. Main St.
Georgetown, TX 78626-5825

Mailing address

1 Citizens PLZ
1102 S. Main St.
Georgetown, TX 78626-5825
Phone (512) 863-2585

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160901001034 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8820384753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9427TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1578747325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CITIZENS PLZ",
            "address_2": "1102 S. MAIN ST.",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265825",
            "telephone_number": "512-863-2585",
            "fax_number": "512-863-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CITIZENS PLZ",
            "address_2": "1102 S. MAIN ST.",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265825",
            "telephone_number": "512-863-2585",
            "fax_number": "512-863-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "EUCLID",
        "middle_name": "NEWTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "9427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.