NPIMap

Organization Active NPI

FV Dental, PLLC

Doing business as Kids Dental & Orthodontics

  • General Practice Dentistry
  • Socorro, TX
National Provider Identifier
1043727415
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FV DENTAL, PLLC
Doing business as
Kids Dental & Orthodontics
Practice address
10670 North Loop Dr
Socorro, TX 79927
Phone
(915) 444-2567
Fax
(949) 537-7137
NPI assigned
Jan 6, 2018
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Dr. Edward Lee Vera, DMDNPI 1033468368
Title
Owner
Phone
(915) 444-2567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 29646 TX
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10670 North Loop Dr
Socorro, TX 79927

Mailing address

10670 North Loop Dr.
Socorro, TX 79927
Phone (915) 444-2567

Other names 1

  • Kids Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FV Denta PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10670 N Loop Dr
Socorro, TX 79927
Phone (915) 444-2567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1043727415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 NORTH LOOP DR.",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "79927",
            "telephone_number": "915-444-2567",
            "fax_number": "949-537-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 NORTH LOOP DR",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "79927",
            "telephone_number": "915-444-2567",
            "fax_number": "949-537-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FV DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-06",
        "last_updated": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-444-2567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29646",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Socorro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.