NPIMap

Organization Active NPI

Jared Huvar Family and Cosmetic Dentistry

  • General Practice Dentistry
  • West Columbia, TX
National Provider Identifier
1992103576
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20183 Issued in TX
Legal business name
JARED HUVAR FAMILY AND COSMETIC DENTISTRY
Practice address
907 S Columbia Dr
West Columbia, TX 77486-3637
Phone
(979) 345-3621
Fax
(979) 345-3723
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Marquette Brown
Title
Front Office
Phone
(979) 345-3621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20183 TX Primary

Addresses

Primary practice location

907 S Columbia Dr
West Columbia, TX 77486-3637

Mailing address

907 S Columbia Dr
West Columbia, TX 77486-3637
Phone (979) 345-3621

Other identifiers 1

IdentifierTypeStateIssuer
209707301MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Columbia Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1992103576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S COLUMBIA DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774863637",
            "telephone_number": "979-345-3621",
            "fax_number": "979-345-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S COLUMBIA DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774863637",
            "telephone_number": "979-345-3621",
            "fax_number": "979-345-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED HUVAR FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARQUETTE",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "979-345-3621"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209707301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.