Active NPI
Michael Cherry, DDS
- General Practice Dentistry
- Waskom, TX
National Provider Identifier
1851406706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13314
- Practice address
- 1665 W Texas Ave
Waskom, TX 75692-9652 - Phone
- (903) 687-2984
- Fax
- (903) 687-2038
- NPI assigned
- Aug 20, 2006
- Last updated
- Nov 6, 2013
- 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 | 13314 | TX | Primary |
Addresses
Primary practice location
1665 W Texas Ave
Waskom, TX 75692-9652
Mailing address
PO Box 1888
1665 West Texas Ave.
Waskom, TX 75692-1888
Phone (903) 687-2984
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480847 | Other | UNITED CONCORDIA | |
| 13314 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210002311 | TX | Order and Referring Only - Oral Surgery | 5294039301 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13314 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1851406706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1888",
"address_2": "1665 WEST TEXAS AVE.",
"city": "WASKOM",
"state": "TX",
"postal_code": "756921888",
"telephone_number": "903-687-2984",
"fax_number": "903-687-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 W TEXAS AVE",
"city": "WASKOM",
"state": "TX",
"postal_code": "756929652",
"telephone_number": "903-687-2984",
"fax_number": "903-687-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "13314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "480847",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "13314",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waskom, TX
- Altius Dental 1 PLLC (Gateway Dental & Implant Center)
- Ascend Behavioral Health Services
- Mereya Botello, RN
- Joan Carlin Briggs
- Dedria Bryan
- Complete Approach Home Health Care, LLC (Complete Approach Home Health Agency)
- Complete Approach Hospice Care (Complete Hospice Care)
- Vanessa Renee Cox, COTA
- Alison Renee Dodson
- Nataliamarie Farr, MA, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.