Individual provider Active NPI

Brett Ken Talbot, D.M.D.

  • General Practice Dentistry
  • Denton, TX
National Provider Identifier
1669496329
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24317 Issued in TX
Practice address
612 W University Dr
Denton, TX 76201-1889
Phone
(940) 484-1200
Fax
(940) 484-1202
NPI assigned
Jul 27, 2006
Last updated
Oct 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24317 TX Primary

Addresses

Primary practice location

612 W University Dr
Denton, TX 76201-1889

Mailing address

612 W University Dr
Denton, TX 76201-1889
Phone (940) 484-1200

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
24317TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Denton Dental Partners, PLLC General Practice Past Accepting new patients
Comfort Dental Denton General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1669496329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011889",
            "telephone_number": "940-484-1200",
            "fax_number": "940-484-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011889",
            "telephone_number": "940-484-1200",
            "fax_number": "940-484-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "BRETT",
        "middle_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.