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Harold Willis

Dentist - General Practice β€’ Fort Cavazos, TX

Active NPI 1447624465 Individual Practitioner Male Practitioner
Practice location in NPPES

Usa Dentac Fort Cavazos, 36000 Shoemaker Lane, Suite 1051
Fort Cavazos, TX 76544

Call 9106432196 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Usa Dentac Fort Cavazos
36000 Shoemaker Lane, Suite 1051

Fort Cavazos, TX 76544

Telephone 9106432196
Organization at the Same NPPES Address or Phone
Usa Dentac Hqs Facility NPI 1245682715

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Austin, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Harold Willis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Harold Willis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fort Cavazos and Texas

15 active clinicians are listed under Dentist - General Practice with a practice address in Fort Cavazos, TX (10,117 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Cavazos

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES NC 11737

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.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES TX 31556

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20260520000052

Enrollment State Jurisdiction

NC

PECOS Control ID

1951870864

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

4419 Frontier Trl Ste 104

Austin, TX 787451567

Phone: 7377474646

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

16 listed
NPI 1780026476
NPI 1457631954

Doctor of Dental Medicine

NPI 1861740722

Doctor of Dental Medicine

NPI 1841671518

Doctor of Dental Medicine, MBE

NPI 1609392034

Doctor of Dental Medicine

NPI 1760798730

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
🏒
Secondary Practice Location Registered May 06, 2026

Additional practice office at 4419 Frontier Trl Ste 104, Austin, TX 787451567

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2026

Dentist (license number reported to NPPES: NC 11737)

πŸ“
Updated Practice Location August 21, 2023

Registered at USA DENTAC FORT CAVAZOS, 36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544 (Tel: 9106432196)

πŸ“
Updated Business Mailing Address August 21, 2023

Registered at USA DENTAC FORT CAVAZOS, 36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544 (Tel: 2059159827)

βœ…
NPI Profile Active November 16, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 16, 2015

Registered at LOGISTICS AVE BLDG M4861, JOEL DENTAL CLINIC MCXC JHC, FORT BRAGG, NC 283100001 (Tel: 9106432196)

πŸ“
Business Mailing Address (Initial Record) November 16, 2015

Registered at LOGISTICS AVE BLDG M4861, JOEL DENTAL CLINIC MCXC JHC, FORT BRAGG, NC 283100001 (Tel: 9106432196)

πŸ‘€
Provider Name / Credentials (Initial Record) November 16, 2015

Recorded as HAROLD WILLIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2015

Dentist (license number reported to NPPES: TX 31556)

🟒
Initial NPI Registration & Enumeration November 16, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447624465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2015
Last Update: May 06, 2026
Sole Proprietor: Yes

Mailing Address

Usa Dentac Fort Cavazos, 36000 Shoemaker Lane, Suite 1051

Fort Cavazos, TX 76544

Phone: 2059159827

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.