MARTIN D PHANDL (NPI# 1689235681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689235681 |
| Entity Type | Individual |
| Full Name | MARTIN D PHANDL |
| Practice Address |
5709 4th St Lubbock TX 79416-4241 |
| Mailing Address |
5800 N I 35 Ste 205 Denton TX 76207-1438 |
| Practice Telephone | 8065875100 |
| Mailing Telephone | 9402207833 |
| Mailing Fax Number | 8557315147 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
35229 | TX | Dental Providers |
| Street Address |
5709 4TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-4241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| 1518379791 | Brandon Burris | Specialist/Technologist | 2503 6th Street, Lubbock, TX 79416 | 2014-05-22 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524426 | Maupin Endodontics & Microsurgery Pllc | Dentist | 6010 82nd St Ste 300, Lubbock, TX 79424-0822 | 2019-12-02 |
| 1730664798 | Dental Health Associates of Texas, PC | Dentist | 6102 82nd St Ste 1, Lubbock, TX 79424-0803 | 2018-09-26 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1699288423 | Yellow House Dental & Implant Center, Pllc | Dentist | 2420 Quaker Ave Ste 104, Lubbock, TX 79410-1837 | 2017-11-15 |
| 1134674187 | Lauren Gates Fey | Dentist | 5607 Slide Rd # 200, #200, Lubbock, TX 79414-4104 | 2016-08-19 |
| 1336591692 | Abbeville Family Dentistry | Dentist | 3801 50th St Ste 13a, Lubbock, TX 79413-3859 | 2016-07-11 |
| 1457729394 | Mccasland Family Dental Too Pllc | Dentist | 7310 Slide Rd, Suite 102, Lubbock, TX 79424-2512 | 2015-09-09 |
| 1265847248 | Karissa Young | Dentist | 1318 Broadway Ste 5, Lubbock, TX 79401-3206 | 2014-06-27 |
| 1083913198 | Summer Celeste Ketron | Dentist | 5301 50th St Ste 100, Lubbock, TX 79414-5834 | 2011-03-15 |
| 1902126774 | Familia Dental Lubbock Pllc | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2010-06-03 |
| 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.