Individual provider Active NPI

Robert Kevin McCarver, D.D.S.

  • General Practice Dentistry
  • Lamesa, TX
National Provider Identifier
1598858656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15252 Issued in TX
Practice address
1500 N Bryan Ave
Lamesa, TX 79331-3143
Phone
(806) 872-8345
Fax
(806) 872-7881
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15252 TX Primary

Addresses

Primary practice location

1500 N Bryan Ave
Lamesa, TX 79331-3143

Mailing address

1500 N Bryan Ave
Lamesa, TX 79331-3143
Phone (806) 872-8345

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
I20160519000540 TX Order and Referring Only - DentistPractitioner - Dentist 6204125974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15252TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598858656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N BRYAN AVE",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793313143",
            "telephone_number": "806-872-8345",
            "fax_number": "806-872-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N BRYAN AVE",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793313143",
            "telephone_number": "806-872-8345",
            "fax_number": "806-872-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARVER",
        "first_name": "ROBERT",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamesa, TX

Sources for this page

Verify at the official NPI Registry.