Organization Active NPI

Dr Gary Geaccone

  • General Practice Dentistry
  • League City, TX
National Provider Identifier
1609034727
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D14401 Issued in TX
Legal business name
DR GARY GEACCONE
Practice address
608 B West Main
League City, TX 77573
Phone
(281) 332-9565
Fax
(281) 554-9066
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Gary Geaccone, DDS
Title
Dentist/ Owner
Phone
(281) 332-9565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D14401 TX Primary

Addresses

Primary practice location

608 B West Main
League City, TX 77573

Mailing address

608 W Main St
Ste B
League City, TX 77573-3884
Phone (281) 332-9565

National Provider Directory

National Provider Directory

Locations

608 W Main St
Ste B
League City, TX 77573
Phone (281) 332-9565

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1609034727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W MAIN ST",
            "address_2": "STE B",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733884",
            "telephone_number": "281-332-9565",
            "fax_number": "281-554-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 B WEST MAIN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "281-332-9565",
            "fax_number": "281-554-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GARY GEACCONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "GEACCONE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "281-332-9565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "D14401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.