Organization Active NPI

Powell and Record, DDS, PLLC

  • General Practice Dentistry
  • Gainesville, TX
National Provider Identifier
1588684351
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
POWELL AND RECORD, DDS, PLLC
Practice address
212 S Grand Ave
Gainesville, TX 76240-5013
Phone
(940) 665-4761
Fax
(940) 665-0199
NPI assigned
Jul 21, 2006
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Matthew Tom Record, DDSNPI 1053331892
Title
Dentist
Phone
(940) 665-4761

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

212 S Grand Ave
Gainesville, TX 76240-5013

Mailing address

212 S Grand Ave
Gainesville, TX 76240-5013
Phone (940) 665-4761

National Provider Directory

National Provider Directory

Locations

212 S Grand Ave
Gainesville, TX 76240
Phone (940) 665-0199

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1588684351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762405013",
            "telephone_number": "940-665-4761",
            "fax_number": "940-665-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762405013",
            "telephone_number": "940-665-4761",
            "fax_number": "940-665-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL AND RECORD, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "RECORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "940-665-4761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.