Active NPI
Tyrus Neapolis Hatcher, DDS
- Pediatric Dentistry
- Fort Hood, TX
National Provider Identifier
1881790376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0020119
- Practice address
- 4431 68TH Street
Fort Hood Dental Activity Credentials Office
Fort Hood, TX 76544 - Phone
- (254) 287-2705
- Fax
- (254) 287-1786
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0020119 | TX | Primary |
Addresses
Primary practice location
4431 68TH Street
Fort Hood Dental Activity Credentials Office
Fort Hood, TX 76544
Mailing address
4431 68TH Street
Fort Hood Dental Activity Credentials Office
Fort Hood, TX 76544
Phone (254) 287-2705
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 |
|---|---|---|---|
| 0020119 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1881790376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4431 68TH STREET",
"address_2": "FORT HOOD DENTAL ACTIVITY CREDENTIALS OFFICE",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-2705",
"fax_number": "254-287-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4431 68TH STREET",
"address_2": "FORT HOOD DENTAL ACTIVITY CREDENTIALS OFFICE",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-2705",
"fax_number": "254-287-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHER",
"first_name": "TYRUS",
"middle_name": "NEAPOLIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "0020119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.