Farwell Dental Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

11608 Issued in TX

Legal business name

FARWELL DENTAL CLINIC

Practice address

303 3Rd St
Farwell, TX 79325-4669

Phone

(806) 481-3336

Fax

(806) 481-3339

NPI assigned

Aug 8, 2013

Last updated

Aug 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joyce Roe Ivins Jr., D.D.S.NPI 1922190974

Title

Owner

Phone

(806) 481-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Joyce Roe Ivins Jr., DDS

  • General Practice Dentistry
  • Farwell, TX
  • NPI 1922190974
  NPD (past) Authorized official

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1891127221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "FARWELL",
            "state": "TX",
            "postal_code": "793250800",
            "telephone_number": "806-481-3336",
            "fax_number": "806-481-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 3RD ST",
            "city": "FARWELL",
            "state": "TX",
            "postal_code": "793254669",
            "telephone_number": "806-481-3336",
            "fax_number": "806-481-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARWELL DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "IVINS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ROE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-481-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "11608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087520-1",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Diane Amalla, FNP
• Burney's Clinic Inc. (Farwell Medical Clinic)
• City of Farwell (Farwell EMS)
• David P Conroy
• Leah L Degan
• Farwell Hospital District (Farwell Care and Rehabilitation Center)
• Farwell Independent School District
• Full Smile Dental, PLLC
• H. Kyle Sheets MD PA
• Kyle Hazen

• Dental Clinic/Center in Farwell, TX
• Providers in Farwell, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.