Norman Jerome Pomerance

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17758 Issued in TX

Practice address

1308 Crescent St
Ste C
Denton, TX 76201-2702

Phone

(940) 382-3530

Fax

(940) 382-8295

NPI assigned

Aug 16, 2005

Last updated

Mar 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Mangum Family Dentistry PLLC

  • General Practice Dentistry
  • Denton, TX
  • NPI 1649929449
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1710979737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CRESCENT ST",
            "address_2": "STE C",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012702",
            "telephone_number": "940-382-3530",
            "fax_number": "940-382-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 CRESCENT ST",
            "address_2": "STE C",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012702",
            "telephone_number": "940-382-3530",
            "fax_number": "940-382-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANCE",
        "first_name": "NORMAN",
        "middle_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Polen, D.C.
• Sabrina M Polk, LPC
• Michelle Lynn Pollock, RD, LD
• Linda Polo, PH.D.
• Richard Polyak, RPH
• Marsha A Pontius, LCSW
• Randee Marisa Poortvliet
• Ashley Nicole Pope, LPC-A
• Lindsey Pope
• Monica Popov, MD

• General Practice Dentistry in Denton, TX
• Providers in Denton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.