Active NPI
Rene De Los Santos Jr., DDS
- General Practice Dentistry
- Brownsville, TX
National Provider Identifier
1023167368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20598
- Practice address
- 191 E Price Rd
Brownsville, TX 78521-3527 - Phone
- (956) 548-7400
- Fax
- (956) 621-3689
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20598 | TX | Primary |
Addresses
Primary practice location
191 E Price Rd
Brownsville, TX 78521-3527
Mailing address
191 E Price Rd
Brownsville, TX 78521-3527
Phone (956) 548-7400
Other practice location 1
100 S Main St
LA Feria, TX 78559-5005
Phone (956) 797-3131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160087604 | Medicaid | TX | |
| 648758 | Other | TX | MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20598 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Feria Family Dentistry, P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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
- La Feria, TX
- NPI 1164571089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1023167368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 E PRICE RD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785213527",
"telephone_number": "956-548-7400",
"fax_number": "956-621-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 E PRICE RD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785213527",
"telephone_number": "956-548-7400",
"fax_number": "956-621-3689"
}
],
"practiceLocations": [
{
"address_1": "100 S Main St",
"address_purpose": "LOCATION",
"city": "LA Feria",
"state": "TX",
"postal_code": "785595005",
"country_code": "US",
"telephone_number": "956-797-3131",
"fax_number": "956-797-3232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LOS SANTOS",
"first_name": "RENE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160087604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "648758",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.