Active NPI
Steven Aycock, DDS
- General Practice Dentistry
- San Marcos, TX
National Provider Identifier
1760591457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13582
- Practice address
- 312 Cheatham St
San Marcos, TX 78666-6912 - Phone
- (512) 392-1214
- Fax
- (512) 392-1215
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13582 | TX | Primary |
Addresses
Primary practice location
312 Cheatham St
San Marcos, TX 78666-6912
Mailing address
312 Cheatham St
San Marcos, TX 78666-6912
Phone (512) 392-1214
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 796718 | Other | UNITED CONCORDIA | |
| D13582 | Other | BCBS OF TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13582 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760591457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 CHEATHAM ST",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666912",
"telephone_number": "512-392-1214",
"fax_number": "512-392-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 CHEATHAM ST",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666912",
"telephone_number": "512-392-1214",
"fax_number": "512-392-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYCOCK",
"first_name": "STEVEN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "13582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "796718",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX",
"identifier": "D13582",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.