JAY NATHAN FORTNER (NPI# 1568564359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568564359 |
| Entity Type | Individual |
| Full Name | JAY NATHAN FORTNER |
| Credential | D.D.S. |
| Practice Address |
8209 Genoa Avenue Suite 100 Lubbock TX 79424 |
| Practice Telephone | 8067911481 |
| Practice Fax Number | 8067911480 |
| Mailing Telephone | 8067911481 |
| Mailing Fax Number | 8067911480 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | TX18583 | TX | Dental Providers |
| Street Address |
8209 GENOA AVENUE SUITE 100 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152207 | Robert Michael Mccauley IIi | Dentist | 4425 98th St Ste 100, Lubbock, TX 79424-5037 | 2020-07-27 |
| 1346809670 | Abbeville Special Needs Dentistry Pllc | Dentist | 2420 Quaker Ave Ste 101, Lubbock, TX 79410-1817 | 2019-06-11 |
| 1609249044 | John Vinings, Dds, P.a. | Dentist | 2811 S Loop 289 Ste 12, Lubbock, TX 79423-1443 | 2015-11-06 |
| 1962879973 | Emeka Arinze Ezeokeke | Dentist | 4819 Avenue Q, Lubbock, TX 79412-2209 | 2015-08-25 |
| 1497138622 | Saly Badri | Dentist | 5607 Slide Rd Ste 200, Lubbock, TX 79414-4104 | 2015-07-07 |
| 1780931444 | Joseph Dylan Everett | Dentist | 6123 79th St Ste 100, Lubbock, TX 79424-8708 | 2012-08-12 |
| 1902123409 | Michael Walker | Dentist | 5807 92nd St, Lubbock, TX 79424-3630 | 2010-04-23 |
| 1154590321 | Charles Thomas Maupin | Dentist | 3233 63rd St, Suite A, Lubbock, TX 79413-5742 | 2008-02-21 |
| 1952434763 | Robert Andrew Welch | Dentist | 4903 82nd St, Suite 60, Lubbock, TX 79424 | 2007-03-13 |
| 1164573606 | Ronald Allan Hawkins | Dentist | 5255 79th St, Lubbock, TX 79424-2852 | 2007-01-12 |
| 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.