DR. GREGORY S. FOSSUM (NPI# 1851304034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851304034 |
Entity Type | Individual |
Full Name | DR. GREGORY S. FOSSUM |
Credential | D.D.S. |
Practice Address |
9301 S Padre Island Dr Corpus Christi TX 78418-5505 |
Practice Telephone | 3619375555 |
Practice Fax Number | 3619376668 |
Mailing Telephone | 3619375555 |
Mailing Fax Number | 3619376668 |
Enumeration Date | 2006-08-15 |
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 |
014397 | TX | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982623658 | Gregory T Fossum | Obstetrics & Gynecology | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2006-07-19 |
Street Address |
9301 S PADRE ISLAND DR |
City | CORPUS CHRISTI |
State | TX |
Zip Code | 78418-5505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205355849 | Apollo Health Management | Clinical Medical Laboratory | 15141 Dasmarinas Drive, Corpus Christi, TX 78418 | 2017-09-14 |
1447441811 | Terri R Kawamura | Nurse Practitioner | 1145 Waldron, Corpus Christi, TX 78418 | 2007-08-09 |
1225249915 | Edward Daniel Schiller | Anesthesiology | 14918 Tesoro Dr, Corpus Christi, TX 78418 | 2007-05-24 |
1194931311 | Jesus Jimenez | Military Health Care Provider | 1017a Huey Dr, Corpus Christi, TX 78418 | 2007-05-15 |
1194898072 | Michael Dennis Lecompte | Orthopaedic Surgery | 14338 Playa Del Rey, Corpus Christi, TX 78418 | 2006-11-16 |
1841385960 | Bay Area Adult Day Care Inc. | Clinic/Center | 9241 South Padre Island Dr., Corpus Christi, TX 78418 | 2006-10-04 |
1922106780 | Thomas Raymond Hollingsworth IIi | Chiropractor | 9450 Spid, Ste 5, Corpus Christi, TX 78418 | 2006-09-20 |
1356450787 | H-e-b, Lp | Clinical Medical Laboratory | 1145 Waldron Rd, Corpus Christi, TX 78418 | 2006-08-30 |
1760597918 | William Frederick Craft | Optometrist | 14650 Compass St, Suite 2, Corpus Christi, TX 78418 | 2006-08-20 |
1619980232 | Roy L Tiemeyer Ddspc | Dentist | 10338 S.p.i.d.#2, Corpus Christi, TX 78418 | 2006-08-14 |
Find all providers in zip 78418 |
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 |
---|---|---|---|---|
1326673195 | Carmel Village Family Dentistry, Pllc | Dentist | 4122 S Staples St, Corpus Christi, TX 78411-2109 | 2020-03-11 |
1457910226 | Smiley Dental Morgan | Dentist | 1306 Morgan Ave, Corpus Christi, TX 78404-3348 | 2019-06-06 |
1104380773 | Weber Rsvk Pllc | Dentist | 5813d Weber Rd, Corpus Christi, TX 78413-3966 | 2019-01-28 |
1457826729 | Everhart Dental Pllc | Dentist | 700 Everhart Rd Ste B11, Corpus Christi, TX 78411-1929 | 2018-10-12 |
1740765510 | Saratoga Boulevard Family Dental, Pllc | Dentist | 5638 Saratoga Blvd Ste 100, Corpus Christi, TX 78414-4134 | 2018-09-27 |
1881115491 | Th Nguyen Dds Pllc | Dentist | 2306 Airline Rd, Corpus Christi, TX 78414-2941 | 2017-07-05 |
1215458245 | Ashley Kerr | Dentist | 6500 S.p.i.d., Ste 12, Corpus Christi, TX 78412 | 2017-06-29 |
1659800720 | Tricia Mae Cueva | Dentist | 4117 S Staples St Ste 300, Corpus Christi, TX 78411-0012 | 2017-06-12 |
1417486333 | Calallen Dental & Orthodontics Pllc | Dentist | 14101 Northwest Blvd Ste 111, Corpus Christi, TX 78410 | 2017-06-05 |
1932547494 | Sarah Denise Pitarra | Dentist | 4758 Mcardle, Suite 104, Corpus Christi, TX 78411-7841 | 2013-06-06 |
Find all providers in CORPUS CHRISTI |
City | CORPUS CHRISTI |
Zip Code | 78418 |
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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.