Jeffrey Michael Adcock, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

21926 Issued in TX

Practice address

7342 Oak Manor Dr
#4203
San Antonio, TX 78229-4543

Phone

(210) 216-0636

NPI assigned

May 5, 2006

Last updated

Jul 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1649228206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7342 OAK MANOR DR",
            "address_2": "#4203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294543",
            "telephone_number": "210-216-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 OAK MANOR DR",
            "address_2": "#4203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294543",
            "telephone_number": "210-216-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21926",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "21926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haydee Adan
• Adaptable Life Counseling PC
• Adaptive Health Services, LLC
• Charles Jonathon Adaszczyk, PHARMACIST
• Gerald Ross Adcock, PT
• Shari Addington, MD
• Hunter M Addis, MD
• Cora Yvette Addison, MSN, APRN, CPNP-PC
• Antoine Addoumieh, MD
• Adebisi Bolanle Adebayo

• Endodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.