Active NPI
Navarro-Prida, PLCC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Edinburg, TX
National Provider Identifier
1003238825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22662
- Legal business name
- NAVARRO-PRIDA, PLCC
- Practice address
- 4733 S. Jackson Rd.
Edinburg, TX 78539 - Phone
- (956) 627-3446
- Fax
- (956) 627-3930
- NPI assigned
- Jan 14, 2014
- Last updated
- Jan 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernesto Yuri Prida, DDS
- Title
- Owner
- Phone
- (956) 627-3446
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27119 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22662 | TX | Primary |
Addresses
Primary practice location
4733 S. Jackson Rd.
Edinburg, TX 78539
Mailing address
4733 S. Jackson Rd.
Edinburg, TX 78539
Phone (956) 627-3446
Other names 1
- navarro-prida, pllc
National Provider Directory
National Provider DirectoryLocations
4733 S Jackson Rd
Edinburg, TX 78539
Phone (956) 318-3384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1003238825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4733 S. JACKSON RD.",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-627-3446",
"fax_number": "956-627-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 S. JACKSON RD.",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-627-3446",
"fax_number": "956-627-3930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVARRO-PRIDA, PLCC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-14",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "PRIDA",
"authorized_official_first_name": "ERNESTO",
"authorized_official_middle_name": "YURI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-627-3446",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27119",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "22662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "navarro-prida, pllc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.