NPIMap

Organization Active NPI

Northeast Texas Periodontal Services

  • Periodontics
  • Paris, TX
National Provider Identifier
1912293853
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
20061 Issued in TX
Legal business name
NORTHEAST TEXAS PERIODONTAL SERVICES
Practice address
3420 Clarksville St
Paris, TX 75460-8014
Phone
(903) 785-4832
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Dr. Nathan E Hodges, D.D.S., M.S.NPI 1730239195
Title
Owner
Phone
(903) 785-4832

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 20061 TX Primary

Addresses

Primary practice location

3420 Clarksville St
Paris, TX 75460-8014

Mailing address

PO Box 6578
Paris, TX 75461-6578
Phone (903) 785-4832

National Provider Directory

National Provider Directory

Locations

3420 Clarksville St
Paris, TX 75460
Phone (903) 785-4832

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1912293853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6578",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754616578",
            "telephone_number": "903-785-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 CLARKSVILLE ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754608014",
            "telephone_number": "903-785-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TEXAS PERIODONTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-785-4832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "20061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.