NPIMap

Organization Active NPI

Jamie B. Epperson, DDS, PA

Doing business as Twelve Oaks Dental Clinic

  • General Practice Dentistry
  • Graham, TX
National Provider Identifier
1790960862
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18099 Issued in TX
Legal business name
JAMIE B. EPPERSON, DDS, PA
Doing business as
Twelve Oaks Dental Clinic
Practice address
401 Oak St
Graham, TX 76450-2521
Phone
(940) 549-2183
Fax
(940) 549-4215
NPI assigned
Jan 8, 2008
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Dr. Jamie B. Epperson, D.D.S.
Title
President
Phone
(940) 549-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18099 TX Primary

Addresses

Primary practice location

401 Oak St
Graham, TX 76450-2521

Mailing address

401 Oak St
Graham, TX 76450-2521
Phone (940) 549-2183

Other identifiers 2

IdentifierTypeStateIssuer
970005OtherTXUCCI
00K28QOtherTXBCBS

Other names 1

  • Twelve Oaks Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1790960862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OAK ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764502521",
            "telephone_number": "940-549-2183",
            "fax_number": "940-549-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OAK ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764502521",
            "telephone_number": "940-549-2183",
            "fax_number": "940-549-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE B. EPPERSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-549-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "970005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00K28Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twelve Oaks Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.