Organization Active NPI

Michael P Huckman DDS

  • General Practice Dentistry
  • Beeville, TX
National Provider Identifier
1992977748
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8789 Issued in TX
Legal business name
MICHAEL P HUCKMAN DDS
Practice address
106 E Corpus Christi St
Suite C
Beeville, TX 78102-5600
Phone
(361) 358-5151
Fax
(361) 358-5524
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Michael Paul Huckman, D.D.S.
Title
Owner
Phone
(361) 358-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8789 TX Primary

Addresses

Primary practice location

106 E Corpus Christi St
Suite C
Beeville, TX 78102-5600

Mailing address

106 E Corpus Christi St
Suite C
Beeville, TX 78102-5600
Phone (361) 358-5151

Other identifiers 4

IdentifierTypeStateIssuer
807759OtherTXUNITED CONDORDIA
1740304161MedicaidTX
85D585OtherTXBLUE CROSS BLUE SHIELD
G60271-04OtherTXCHIP

National Provider Directory

National Provider Directory

Locations

106 E Corpus Christi St
Ste C
Beeville, TX 78102
Phone (361) 358-5151

Practitioners & affiliated clinicians

Practitioners 1

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1992977748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E CORPUS CHRISTI ST",
            "address_2": "SUITE C",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025600",
            "telephone_number": "361-358-5151",
            "fax_number": "361-358-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E CORPUS CHRISTI ST",
            "address_2": "SUITE C",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025600",
            "telephone_number": "361-358-5151",
            "fax_number": "361-358-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P HUCKMAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HUCKMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-358-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONDORDIA",
            "identifier": "807759",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740304161",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85D585",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "G60271-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.