Individual provider Active NPI

Chaz Horton, DDS

  • Dentist
  • Lubbock, TX
National Provider Identifier
1639721103
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35468 Issued in TX
Practice address
4425 98TH St Ste 300
Lubbock, TX 79424-5037
Phone
(806) 795-5226
Fax
(806) 795-0362
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35468 TX Primary

Addresses

Primary practice location

4425 98TH St Ste 300
Lubbock, TX 79424-5037

Mailing address

4425 98TH St Ste 300
Lubbock, TX 79424-5037
Phone (806) 795-5226

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

LicenseStateTypeSpecialty
35468TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason P. White, DDS PA CurrentSince Jul 25, 2019 Accepting new patients

Locations

4425 98th St
Ste 300
Lubbock, TX 79424
Phone (806) 795-5226

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1639721103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 98TH ST STE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245037",
            "telephone_number": "806-795-5226",
            "fax_number": "806-795-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 98TH ST STE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245037",
            "telephone_number": "806-795-5226",
            "fax_number": "806-795-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "CHAZ",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.