Active NPI
Roche Family Dentistry PA
- General Practice Dentistry
- Huntsville, TX
National Provider Identifier
1952477580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14565
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Carver Roche II, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Huntsville, TX
- NPI 1518028208
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.