Individual provider Active NPI

Claudia M Ancira, DDS

  • Prosthodontics
  • Laredo, TX
National Provider Identifier
1013452994
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
32501 Issued in TX
Practice address
1800 Country Club Dr Apt 5
Laredo, TX 78045-7549
Phone
(956) 763-2625
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32501 TX
Endodontics 1223E0200X 32501 TX
General Practice Dentistry 1223G0001X 32501 TX
Prosthodontics 1223P0700X 32501 TX Primary

Addresses

Primary practice location

1800 Country Club Dr Apt 5
Laredo, TX 78045-7549

Mailing address

1800 Country Club Dr Apt 5
Laredo, TX 78045-7549
Phone (956) 763-2625

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
32501TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Innovations PLLC Current Accepting new patients
Ancira Family Dental Current Accepting new patients

Locations

1601 E Alton Gloor Blvd
Ste 108
Brownsville, TX 78526
Phone (956) 542-1956

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP

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": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1013452994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COUNTRY CLUB DR APT 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457549",
            "telephone_number": "956-763-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COUNTRY CLUB DR APT 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457549",
            "telephone_number": "956-763-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCIRA",
        "first_name": "CLAUDIA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32501",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "32501",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32501",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "32501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.