JENNIFER A HATHAWAY DDS PA (NPI# 1972139764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972139764 |
| Entity Type | Organization |
| Organization Name | JENNIFER A HATHAWAY DDS PA |
| Practice Address |
1719 Broadmoor Dr Bryan TX 77802-5210 |
| Practice Telephone | 9797766884 |
| Practice Fax Number | 9797743008 |
| Mailing Telephone | 9797766884 |
| Mailing Fax Number | 9797743008 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | DR. JENNIFER A HATHAWAY (OWNER) |
| Authorized Official Telephone | 9797766884 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
1719 BROADMOOR DR |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-5210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558815 | Jennifer Ann Hathaway | Dentist | 1719 Broadmoor Dr, Bryan, TX 77802-5210 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031910 | Marshall-kloene Orthopedics, Inc. | Durable Medical Equipment & Medical Supplies | 6902 Us 127, Bryan, OH 43506-8645 | 2019-06-11 |
| 1760744288 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 6240 Fourwinds Dr Ste A6, Bryan, TX 77808-7279 | 2012-06-11 |
| 1205860467 | Fred E Mcgilberry & Assoc Inc | Durable Medical Equipment & Medical Supplies | 3030 E 29th St, Suite 112, Bryan, TX 77802-2740 | 2006-07-11 |
| 1972572618 | Farrow Medical Innovations | Durable Medical Equipment & Medical Supplies | 3141 Briarcrest Dr, Ste 518, Bryan, TX 77802-3055 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990055 | Tatiana E Price | Durable Medical Equipment & Medical Supplies | 14406 Brunswick Place Dr, Houston, TX 77047-4645 | 2020-10-20 |
| 1497360911 | Sleep Better Austin Treatment Pllc | Durable Medical Equipment & Medical Supplies | 920 N Vista Ridge Blvd Ste 700, Cedar Park, TX 78613-7637 | 2020-09-11 |
| 1619586500 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 12402 Slide Rd Ste 305, Lubbock, TX 79424-8322 | 2020-07-27 |
| 1508474396 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 4103 Kramer Ln Ste 201, Texarkana, TX 75501-8113 | 2020-07-17 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1639794621 | Allen E Navey Dds Pa | Durable Medical Equipment & Medical Supplies | 405 W Gramercy Pl, San Antonio, TX 78212-2827 | 2020-06-15 |
| 1790309383 | Krishe Inc | Durable Medical Equipment & Medical Supplies | 7777 Warren Pkwy Ste 280, Frisco, TX 75034-8129 | 2020-05-30 |
| 1740800176 | Dme-now, LLC | Durable Medical Equipment & Medical Supplies | 734 S Saginaw Blvd, Saginaw, TX 76179-2109 | 2020-04-27 |
| 1336778737 | Paulette Sanford Dds, Pllc | Durable Medical Equipment & Medical Supplies | 4221 Benner Ste 200, Kyle, TX 78640-2221 | 2020-04-07 |
| 1962040303 | Sleep Better Austin Treatment Pllc | Durable Medical Equipment & Medical Supplies | 1600 W 38th St Ste 407, Austin, TX 78731-6407 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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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.