Individual provider Active NPI

Jackeline Audrey Argandona-Daab, DMD

  • General Practice Dentistry
  • Leander, TX
National Provider Identifier
1013035948
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3251 Issued in NH
Practice address
2906 S Bagdad Rd Ste 100
Leander, TX 78641-3269
Phone
(512) 259-1250
Fax
(512) 259-1160
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30545 TX
General Practice Dentistry 1223G0001X 3251 NH Primary

Addresses

Primary practice location

2906 S Bagdad Rd Ste 100
Leander, TX 78641-3269

Mailing address

355 Greenleaf Ave Suite E
Park City, IL 60085
Phone (847) 249-5700

Other practice location 1

4613 Bee Caves Rd Ste 101
West Lake Hills, TX 78746-5206
Phone (512) 327-1222

Other identifiers 2

IdentifierTypeStateIssuer
Z81744OtherMABLUE CROSS
000796847OtherUNITED CONCORDIA

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

LicenseStateTypeSpecialty
30545TXMDGeneral Practice Dentistry
3251NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Somerica Dental, PC General Practice Past Accepting new patients
Somerica Dental, PC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013035948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GREENLEAF AVE SUITE E",
            "city": "PARK CITY",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-249-5700",
            "fax_number": "847-249-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 S BAGDAD RD STE 100",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413269",
            "telephone_number": "512-259-1250",
            "fax_number": "512-259-1160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4613 Bee Caves Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465206",
            "country_code": "US",
            "telephone_number": "512-327-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARGANDONA-DAAB",
        "first_name": "JACKELINE",
        "middle_name": "AUDREY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30545",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Z81744",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000796847",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.