Organization Active NPI

Hutto Premier Dentistry PA

Doing business as Hutto Premier Dentistry

  • General Practice Dentistry
  • Hutto, TX
National Provider Identifier
1932451887
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22799 Issued in TX
Legal business name
HUTTO PREMIER DENTISTRY PA
Doing business as
Hutto Premier Dentistry
Practice address
60 Chris Kelley Blvd
Hutto, TX 78634-5298
Phone
(512) 846-2646
Fax
(512) 846-1169
NPI assigned
Oct 2, 2012
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Dr. John Fowler McEntire, FGADNPI 1225245699
Title
Dentist
Phone
(512) 846-2646

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
General Practice Dentistry 1223G0001X 22799 TX Primary

Addresses

Primary practice location

60 Chris Kelley Blvd
Hutto, TX 78634-5298

Mailing address

123 Ed Schmidt Blvd
100
Hutto, TX 78634-5585
Phone (512) 846-2646

Other names 1

  • Hutto Premier Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

123 Ed Schmidt Blvd
Ste 100
Hutto, TX 78634

60 Chris Kelley Blvd
Hutto, TX 78634
Phone (512) 846-2646

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": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1932451887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ED SCHMIDT BLVD",
            "address_2": "100",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345585",
            "telephone_number": "512-846-2646",
            "fax_number": "512-846-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CHRIS KELLEY BLVD",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345298",
            "telephone_number": "512-846-2646",
            "fax_number": "512-846-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTTO PREMIER DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MCENTIRE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FOWLER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "512-846-2646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FGAD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutto Premier Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.