Organization Active NPI

Heroes Weslaco PLLC

  • Dentist
  • Weslaco, TX
National Provider Identifier
1013668094
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HEROES WESLACO PLLC
Practice address
915 E Expressway 83
Weslaco, TX 78599-4619
Phone
(956) 800-1060
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Dr. Sergio Ivan Guzman, D.D.S
Title
Owner
Phone
(956) 607-0732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

915 E Expressway 83
Weslaco, TX 78599-4619

Mailing address

4502 S McColl Rd
Edinburg, TX 78539-9739
Phone (956) 800-1060

Other names 1

  • Heroes Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contactweslaco@heroesdental.com Direct

National Provider Directory

National Provider Directory

Locations

915 E Expressway 83
Weslaco, TX 78599
Phone (956) 800-1060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1013668094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399739",
            "telephone_number": "956-800-1060",
            "fax_number": "956-800-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E EXPRESSWAY 83",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785994619",
            "telephone_number": "956-800-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROES WESLACO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-607-0732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contactweslaco@heroesdental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "915 E Expressway 83",
            "city": "Weslaco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785994619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heroes Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heroes Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.