DR. JERRY HAROLD HIDLEBAUGH (NPI# 1760573117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760573117 |
| Entity Type | Individual |
| Full Name | DR. JERRY HAROLD HIDLEBAUGH |
| Credential | D.D.S. |
| Practice Address |
202 East Weaver St. Alvarado TX 76009 |
| Practice Telephone | 8177832173 |
| Practice Fax Number | 8177832632 |
| Mailing Telephone | 8177832173 |
| Mailing Fax Number | 8177832632 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8188 | TX | Dental Providers |
| Street Address |
202 EAST WEAVER ST. |
| City | ALVARADO |
| State | TX |
| Zip Code | 76009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598277378 | James Eliezer Dechavez | Nurse Practitioner | 515 E Highway 67, Alvarado, TX 76009 | 2017-11-01 |
| 1194143016 | Lifeway Dental | Dentist | 505 E Hwy 67, Alvarado, TX 76009 | 2014-03-29 |
| 1134555485 | Us Drug Mart, Inc. | Pharmacy | 601 N Parkway Dr, Ste A, Alvarado, TX 76009 | 2013-09-18 |
| 1396095394 | Alvarado Family Dentistry | Clinic/Center | 905 N. Cummings Drive, Alavardo, TX 76009 | 2012-09-17 |
| 1174701924 | Alvarado Chiropractic Health & Wellness | Chiropractor | 805 E Hwy 67, Alvarado, TX 76009 | 2008-02-04 |
| 1154506046 | Mobility Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 5720 Valley St, Suite 1, Alvarado, TX 76009 | 2008-01-09 |
| 1790802387 | Alvarado Isd | Local Education Agency (LEA) | 110 Bill Jackson Dr, Alvarado, TX 76009 | 2007-03-26 |
| 1558305391 | Nick Gagich | Chiropractor | 805 E Highway 67, Alvarado, TX 76009 | 2006-06-15 |
| 1386696136 | Johnson Diaz Dellosa | Family Medicine | 515 East Highway 67, Alvarado, TX 76009 | 2006-05-17 |
| 1740895911 | Royal Haven Medical | Podiatrist | 713 Lakeview Dr, Alvarado, TX 76009-2668 | 2020-09-14 |
| Find all providers in zip 76009 | ||||
| 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 |
|---|---|---|---|---|
| 1356732184 | Jerry H Hidlebaugh Dds and Associates, Pllc | Dentist | 202 E Weaver Ave, Alvarado, TX 76009-4375 | 2015-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1699375543 | Long Family Dental | Dentist | 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 | 2020-10-29 |
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1952900466 | Gwendolyn Kines-mcleod Dds,pllc | Dentist | 401 N Ann St Ste B, Terrell, TX 75160-2549 | 2020-10-26 |
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1295334803 | Jpm Dental of Spring | Dentist | 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 | 2020-10-23 |
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1710586029 | Whitestone Dental Center Pllc | Dentist | 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 | 2020-10-19 |
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| 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.