Active NPI
Red Square Dental & Orthodontics at Closner PLLC
- General Practice Dentistry
- Edinburg, TX
National Provider Identifier
1043907702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- RED SQUARE DENTAL & ORTHODONTICS AT CLOSNER PLLC
- Practice address
- 1615 S Closner Blvd
Edinburg, TX 78539-5718 - Phone
- (956) 686-5511
- Fax
- (956) 686-9955
- NPI assigned
- Apr 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vladislav Victor Loshkarev, DDS
- Title
- Dentist/Owner
- Phone
- (956) 686-5511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1615 S Closner Blvd
Edinburg, TX 78539-5718
Mailing address
2702 Cornerstone Blvd
Edinburg, TX 78539-8327
Phone (956) 686-5511
National Provider Directory
National Provider DirectoryLocations
2702 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 686-5511
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Edinburg, TX
- NPI 1154020097
-
- General Practice Dentistry
- Edinburg, TX
- NPI 1245964808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682035200000",
"number": "1043907702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 CORNERSTONE BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398327",
"telephone_number": "956-686-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 S CLOSNER BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785395718",
"telephone_number": "956-686-5511",
"fax_number": "956-686-9955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED SQUARE DENTAL & ORTHODONTICS AT CLOSNER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-21",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A",
"authorized_official_last_name": "LOSHKAREV",
"authorized_official_first_name": "VLADISLAV",
"authorized_official_middle_name": "VICTOR",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "956-686-5511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.