Individual provider Active NPI

Manuel Pazmino Jr., D.D.S.

  • General Practice Dentistry
  • Temple, TX
National Provider Identifier
1033523204
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30119 Issued in TX
Practice address
3013 Scott Blvd
Temple, TX 76504-6815
Phone
(254) 778-3587
NPI assigned
Jun 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30119 TX Primary

Addresses

Primary practice location

3013 Scott Blvd
Temple, TX 76504-6815

Mailing address

3013 Scott Blvd
Temple, TX 76504-6815
Phone (254) 778-3587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002000319 TX Order and Referring Only - DentistPractitioner - Dentist 4385952860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30119TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel Pazmino, Jr., D.D.S., PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1033523204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 SCOTT BLVD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046815",
            "telephone_number": "254-778-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 SCOTT BLVD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046815",
            "telephone_number": "254-778-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZMINO",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.