NPIMap

Organization Active NPI

Kevin J Dileo DDS Evie Green-Dileo DDS PC

  • General Practice Dentistry
  • Orange, TX
National Provider Identifier
1063698918
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16900 Issued in TX
Legal business name
KEVIN J DILEO DDS EVIE GREEN-DILEO DDS PC
Practice address
1208 W Elm St
Orange, TX 77630-5535
Phone
(409) 886-9392
Fax
(409) 883-6811
NPI assigned
Jan 10, 2008
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. Kevin J. Dileo, DDSNPI 1730275108
Title
Doctor/Owner
Phone
(409) 886-9392

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 16900 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 16906 TX

Addresses

Primary practice location

1208 W Elm St
Orange, TX 77630-5535

Mailing address

1208 W Elm St
Orange, TX 77630-5535
Phone (409) 886-9392

Other identifiers 1

IdentifierTypeStateIssuer
0027B2OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1063698918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W ELM ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776305535",
            "telephone_number": "409-886-9392",
            "fax_number": "409-883-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W ELM ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776305535",
            "telephone_number": "409-886-9392",
            "fax_number": "409-883-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J DILEO DDS EVIE GREEN-DILEO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "DILEO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "409-886-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16900",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0027B2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.