Roy D Kindrick, D.D.S.,M.S.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8446 Issued in TX

Practice address

1300 Fulton St
Denton, TX 76201-2688

Phone

(940) 387-9015

Fax

(940) 898-1649

NPI assigned

Nov 29, 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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Denton Oral and Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Denton, TX
  • NPI 1700966462
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992872600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FULTON ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012688",
            "telephone_number": "940-387-9015",
            "fax_number": "940-898-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FULTON ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012688",
            "telephone_number": "940-387-9015",
            "fax_number": "940-898-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDRICK",
        "first_name": "ROY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "8446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suwan Kim
• Tai Jung Kim, M.D.
• Young Ron Kim, NP-C
• Belinda Kimberlin
• Kimberly H White Enterprises LLC
• Kindstar, Inc.
• Kindstar, Inc.
• Kindstar, Inc.
• Kinesiology Chiropractic & Neurology
• Caroline Michele King, MD

• Oral and Maxillofacial Surgery (Dentist) in Denton, TX
• Providers in Denton, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.