NPIMap

Organization Active NPI

Gainesville Family Dentistry, PC

  • General Practice Dentistry
  • Gainesville, TX
National Provider Identifier
1881914679
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19728 Issued in TX
Legal business name
GAINESVILLE FAMILY DENTISTRY, PC
Practice address
212 S Grand Ave
Gainesville, TX 76240-5013
Phone
(940) 665-4761
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Matthew Tom Record, D,D.S.NPI 1053331892
Title
Owner/President
Phone
(940) 665-4761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19728 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 22036 TX

Addresses

Primary practice location

212 S Grand Ave
Gainesville, TX 76240-5013

Mailing address

212 S Grand Ave
Gainesville, TX 76240-5013
Phone (940) 665-4761

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1881914679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762405013",
            "telephone_number": "940-665-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762405013",
            "telephone_number": "940-665-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "RECORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "940-665-4761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19728",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.