CAPROCK ORAL SURGERY, PLLC (NPI# 1558770214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558770214 |
| Entity Type | Organization |
| Organization Name | CAPROCK ORAL SURGERY, PLLC |
| Practice Address |
5730 66th St Lubbock TX 79424-1224 |
| Practice Telephone | 8067940001 |
| Practice Fax Number | 8067940025 |
| Mailing Telephone | 8067940001 |
| Mailing Fax Number | 8067940025 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Authorized Official Name | DR. RAMSEY MATTHEW FANOUS (OWNER) |
| Authorized Official Telephone | 8067940001 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
TX16343 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821405416 | Caprock Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 5730 66th St., Lubbock, TX 79424-1224 | 2014-07-16 |
| Street Address |
5730 66TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952462897 | Gladys Johnson Whitten | Dentist | 5730 66th St, Suite 2, Lubbock, TX 79424-1224 | 2006-12-13 |
| 1831324052 | Gladys J. Whitten, Dmd, Pa | Dentist | 5730 66th St, Suite 2, Lubbock, TX 79424-1224 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760712335 | North Mesa Dental, PC | Dentist | 2903 50th St, Lubbock, TX 79413-4323 | 2010-01-05 |
| 1952462897 | Gladys Johnson Whitten | Dentist | 5730 66th St, Suite 2, Lubbock, TX 79424-1224 | 2006-12-13 |
| 1225099906 | Robert Bryan Ioppolo | Dentist | 4211 85th St, Lubbock, TX 79423-1931 | 2006-03-31 |
| 1790036150 | West Texas Oral Facial Surgery | Dentist | 7515 Quaker Ave, Suite 200, Lubbock, TX 79424 | 2012-09-26 |
| 1831324052 | Gladys J. Whitten, Dmd, Pa | Dentist | 5730 66th St, Suite 2, Lubbock, TX 79424-1224 | 2009-05-18 |
| 1447445994 | Clint Barrett, D.d.s., Inc. | Dentist | 7515 Quaker Ave, Suite 200, Lubbock, TX 79424-5308 | 2007-09-07 |
| 1639376049 | Ryan T Higley | Dentist | 7515 Quaker Ave, Suite 200, Lubbock, TX 79424-5308 | 2007-06-29 |
| 1962591446 | Steven James Hill | Dentist | 4211 85th St, Lubbock, TX 79423-1931 | 2006-10-12 |
| 1972538403 | George Clint Barrett | Dentist | 2420 Quaker Ave, Ste 102, Lubbock, TX 79410 | 2006-07-12 |
| 1124053053 | Ronald Gene Smith | Dentist | 2420 Quaker Ave, Ste 102, Lubbock, TX 79410 | 2006-07-11 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.