Active NPI
Michael P Huckman DDS
- General Practice Dentistry
- Beeville, TX
National Provider Identifier
1992977748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8789
- 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, 2008
- 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. Michael Paul Huckman, D.D.S.
- Title
- Owner
- Phone
- (361) 358-5151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807759 | Other | TX | UNITED CONDORDIA |
| 1740304161 | Medicaid | TX | |
| 85D585 | Other | TX | BLUE CROSS BLUE SHIELD |
| G60271-04 | Other | TX | CHIP |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Beeville, TX
- NPI 1811192578
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.