Organization Active NPI

Red Square Dental & Orthodontics at Closner PLLC

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1043907702
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Apr 21, 2023

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.