Organization Active NPI

Navarro-Prida, PLCC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Edinburg, TX
National Provider Identifier
1003238825
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22662 Issued in TX
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.