Active NPI
Tim Alan Geffert, DDS
- General Practice Dentistry
- Corpus Christi, TX
National Provider Identifier
1598885022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13180
- Practice address
- 801 Airline Rd
Corpus Christi, TX 78412-3159 - Phone
- (361) 992-5533
- Fax
- (361) 992-2999
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13180 | TX | Primary |
Addresses
Primary practice location
801 Airline Rd
Corpus Christi, TX 78412-3159
Mailing address
801 Airline Rd
Corpus Christi, TX 78412-3159
Phone (361) 992-5533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B13180-1 | Other | TX | HHSC |
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 |
|---|---|---|---|
| 13180 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1598885022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 AIRLINE RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784123159",
"telephone_number": "361-992-5533",
"fax_number": "361-992-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 AIRLINE RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784123159",
"telephone_number": "361-992-5533",
"fax_number": "361-992-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEFFERT",
"first_name": "TIM",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "13180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HHSC",
"identifier": "B13180-1",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.