Individual provider Active NPI

Luis D Buentello, DC

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1083738231
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
792698 Issued in TX
Practice address
801 E Nolana St
Ste. #17
McAllen, TX 78504-6104
Phone
(956) 630-1616
NPI assigned
Mar 16, 2007
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7934 TX
Family Nurse Practitioner 363LF0000X 792698 TX Primary

Addresses

Primary practice location

801 E Nolana St
Ste. #17
McAllen, TX 78504-6104

Mailing address

PO Box 3271
McAllen, TX 78502-3271
Phone (956) 630-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000616 TX Practitioner - Nurse Practitioner 9931119245 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7934TXMDOptometrist
792698TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Neurology Institute TX Chiropractor PastSince Feb 1, 2006 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFDDD/Endpoint/EIFDDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1083738231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3271",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023271",
            "telephone_number": "956-630-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA ST",
            "address_2": "STE. #17",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046104",
            "telephone_number": "956-630-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENTELLO",
        "first_name": "LUIS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7934",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "792698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.