Joyce Roe Ivins Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11608 Issued in TX

Practice address

301 Third Street
Farwell, TX 79325-0800

Phone

(806) 481-3336

Fax

(805) 481-3339

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Farwell Dental Clinic

  • Dental Clinic/Center
  • Farwell, TX
  • NPI 1891127221
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922190974",
    "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": "805-481-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 THIRD STREET",
            "city": "FARWELL",
            "state": "TX",
            "postal_code": "793250800",
            "telephone_number": "806-481-3336",
            "fax_number": "805-481-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVINS",
        "first_name": "JOYCE",
        "middle_name": "ROE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "826119",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD",
            "identifier": "TX11608",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farwell Hospital District (Farwell Care and Rehabilitation Center)
• Farwell Independent School District
• Full Smile Dental, PLLC
• H. Kyle Sheets MD PA
• Kyle Hazen
• Jena Leigh Kemp, M.S., CCC-SLP
• Lacey Dawn Meeks, MSN, ACNP-BC, FNP-BC
• Muleshoe Area Hospital District (Farwell Medical Clinic RHC)
• Brenda Lizeth Rodriguez, FNP
• Chantal C Schaap, FNP-C

• General Practice Dentistry in Farwell, TX
• Providers in Farwell, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.