REGENCE HEALTH NETWORK INC. NPI 1295952018

NPI Information

NPI: 1295952018
Provider Name: REGENCE HEALTH NETWORK, INC.
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
CLIA Number: 45D0506774
Address: 850 MARTIN RD
AMARILLO, TX
ZIP 79107
Phone: (806) 374-7341

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NPI Details

REGENCE HEALTH NETWORK, INC. is a general practice dentist in Amarillo, TX. The provider is 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. REGENCE HEALTH NETWORK, INC. NPI is 1295952018. The provider is registered as an organization entity type.

The provider's business location address is:

850 MARTIN RD
AMARILLO, TX
ZIP 79107-814
Phone: (806) 374-7341
Fax: (806) 374-0316

The provider's authorized official is Rick Love .
The authorized official title is Ceo and has the following contact phone number (806) 293-8561.

The CLIA number assigned to this NPI record is 45D0506774 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 6/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	F1756	TEXAS	No
2	1223G0001X	Dentist	General Practice			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00P907	MEDICARE PIN	TEXAS
2	135077909	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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