Active NPI
Jackeline Audrey Argandona-Daab, DMD
- General Practice Dentistry
- Leander, TX
National Provider Identifier
1013035948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z81744 | Other | MA | BLUE CROSS |
| 000796847 | Other | UNITED 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30545 | TX | MD | General Practice Dentistry |
| 3251 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Leander, TX
- NPI 1487173258
-
- General Practice Dentistry
- West Lake Hills, TX
- NPI 1841709334
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.