Individual provider Active NPI

John P Freeman, MD DDS PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Katy, TX
National Provider Identifier
1649325317
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
TXBL1046 Issued in TX
Practice address
705 South Fry Road
Suite 200
Katy, TX 77450
Phone
(281) 599-9445
Fax
(281) 599-9455
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X TXBL1046 TX Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X TD20047 TX

Addresses

Primary practice location

705 South Fry Road
Suite 200
Katy, TX 77450

Mailing address

705 South Fry Road
Suite 200
Katy, TX 77450
Phone (281) 599-9445

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150220001945 TX Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 0648595397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
20047TXMDProfessional Counselor
TD20047TXMDOral & Maxillofacial Surgery (D.M.D.)
TXBL1046TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
John Freeman MD, DDS, PA Current Accepting new patients
Hullett Dental Group, PLLC Past Accepting new patients
Southwest Oral and Implant Past Accepting new patients

Locations

705 S Fry Rd
Ste 200
Katy, TX 77450
Phone (281) 599-9445

Organizations & group practices 3

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649325317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SOUTH FRY ROAD",
            "address_2": "SUITE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-599-9445",
            "fax_number": "281-599-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SOUTH FRY ROAD",
            "address_2": "SUITE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-599-9445",
            "fax_number": "281-599-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD DDS PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "TXBL1046",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "TD20047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.