Organization Active NPI

Raymondville Family Dentistry

  • General Practice Dentistry
  • Raymondville, TX
National Provider Identifier
1033544929
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RAYMONDVILLE FAMILY DENTISTRY
Practice address
652 S. Expressway 77
Raymondville, TX 78580
Phone
(956) 689-2154
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Dr. Juan D. Villarreal, D.D.S
Title
President
Phone
(956) 689-2154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

652 S. Expressway 77
Raymondville, TX 78580

Mailing address

1214 Dixieland Rd
Suite 4
Harlingen, TX 78552-3351
Phone (956) 428-5322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1033544929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 DIXIELAND RD",
            "address_2": "SUITE 4",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523351",
            "telephone_number": "956-428-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 S. EXPRESSWAY 77",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "78580",
            "telephone_number": "956-689-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMONDVILLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-689-2154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.