Dod

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5863 Issued in NE

Legal business name

DOD

Practice address

US Army Dental Activity
4431 68TH Street
Fort Hood, TX 76544

Phone

(254) 287-3105

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Thomas Wolpert, DDS

Title

General Dentist

Phone

(254) 371-7787

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keris Ryan Flynn, DMD

  • Dentist
  • Fort Hood, TX
  • NPI 1801316773
  NPD (past)
• Daisha Hubbard

  • Dental Assistant
  • Fort Hood, TX
  • NPI 1356790505
  NPD (past)
• Adam Robert Ochsner, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Fort Hood, TX
  • NPI 1669488227
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1659722189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "US ARMY DENTAL ACTIVITY",
            "address_2": "4431 68TH STREET",
            "city": "APO",
            "state": "AA",
            "postal_code": "76544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US ARMY DENTAL ACTIVITY",
            "address_2": "4431 68TH STREET",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "WOLPERT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "254-371-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "06749",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "5863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Adam Dipirro Jr., DDS
• Jonathan James Dismuke, DMD
• Nhanam Duc DO, D.M.D.
• Luat Tien Doan
• Lourdes Doctor, LVN
• Darrel W Dodson, MD DPM
• Christa Maria Dorothea Dolejsi, PA-C
• David Eugene Domelsmith, PHD
• Robin Kimberly Donald, RN
• Katherine Dondanville, PSY.D.

• Dental Clinic/Center in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.