Organization Active NPI

Roche Family Dentistry PA

  • General Practice Dentistry
  • Huntsville, TX
National Provider Identifier
1952477580
Registry record updated Jul 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14565 Issued in TX
Legal business name
ROCHE FAMILY DENTISTRY PA
Practice address
1117 University Avenue
Huntsville, TX 77340
Phone
(936) 291-3455
Fax
(936) 293-1922
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2012

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

Authorized official

Name
Dr. William Carver Roche II, DDSNPI 1518028208
Title
President Dentist
Phone
(936) 291-3455

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14565 TX Primary

Addresses

Primary practice location

1117 University Avenue
Huntsville, TX 77340

Mailing address

1117 University Avenue
Huntsville, TX 77340
Phone (936) 291-3455

National Provider Directory

National Provider Directory

Locations

1117 University Ave
Huntsville, TX 77340
Phone (936) 291-3455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341619200000",
    "number": "1952477580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 UNIVERSITY AVENUE",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-291-3455",
            "fax_number": "936-293-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 UNIVERSITY AVENUE",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-291-3455",
            "fax_number": "936-293-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHE FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-07-07",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CARVER",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "936-291-3455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2012; 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.