Organization Active NPI

Fox Creek Endodontics

  • Endodontics
  • Conroe, TX
National Provider Identifier
1891328761
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
FOX CREEK ENDODONTICS
Practice address
2040 N Loop 336 W Ste 300
Conroe, TX 77304-3579
Phone
(936) 756-1676
Fax
(936) 756-1675
NPI assigned
Feb 19, 2020
Last updated
Feb 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Guadalupe Aguirre
Title
Patient Coordinator
Phone
(936) 756-1676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

2040 N Loop 336 W Ste 300
Conroe, TX 77304-3579

Mailing address

2040 N Loop 336 W Ste 300
Conroe, TX 77304-3579
Phone (936) 756-1676

Other identifiers 1

IdentifierTypeStateIssuer
1891046090OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1891328761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N LOOP 336 W STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043579",
            "telephone_number": "936-756-1676",
            "fax_number": "936-756-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N LOOP 336 W STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043579",
            "telephone_number": "936-756-1676",
            "fax_number": "936-756-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX CREEK ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_title_or_position": "PATIENT COORDINATOR",
        "authorized_official_telephone_number": "936-756-1676"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891046090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.