Active NPI
Julio Edgardo Escobar, DDS
- Dentist
- Dayton, NV
National Provider Identifier
1003000167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5572
- Practice address
- 5 Pine Cone Rd
Dayton, NV 89403-7482 - Phone
- (775) 220-7788
- NPI assigned
- Aug 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5572 | NV | Primary |
Addresses
Primary practice location
5 Pine Cone Rd
Dayton, NV 89403-7482
Mailing address
5 Pine Cone Rd
Dayton, NV 89403-7482
Phone (775) 220-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5572 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1003000167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PINE CONE RD",
"city": "DAYTON",
"state": "NV",
"postal_code": "894037482",
"telephone_number": "775-220-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PINE CONE RD",
"city": "DAYTON",
"state": "NV",
"postal_code": "894037482",
"telephone_number": "775-220-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR",
"first_name": "JULIO",
"middle_name": "EDGARDO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-31",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "5572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.