Pete Robert McElroy, DDS – General Practice Dentistry

Key facts

NPI: 1831264183
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 13109 (TX)
Practice address: 416 N. 15TH St.
Corsicana, TX 75110
Phone: (903) 872-7388
Fax: (903) 872-6898
NPI assigned: Nov 22, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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

Corsicana Hometown Dental General Practice Dentistry · Corsicana, TX · NPI 1861290884

NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
13109	TX	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Corsicana Hometown Dental	General Practice	Past since Mar 11, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	13109	TX	Yes

Addresses

Primary practice location

416 N. 15TH St.
Corsicana, TX 75110

Mailing address

416 N. 15TH St.
Corsicana, TX 75110
Phone (903) 872-7388

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831264183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N. 15TH ST.",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "75110",
            "telephone_number": "903-872-7388",
            "fax_number": "903-872-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N. 15TH ST.",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "75110",
            "telephone_number": "903-872-7388",
            "fax_number": "903-872-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "PETE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

All providers in Corsicana, TX · General Practice Dentistry in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.