Active NPI
Noe Luis Jaramillo, DDS
- General Practice Dentistry
- Midlothian, TX
National Provider Identifier
1093376238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35148
- Practice address
- 102 S 7TH St
Midlothian, TX 76065-3212 - Phone
- (214) 707-1708
- NPI assigned
- Jun 27, 2019
- Last updated
- Jun 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35148 | TX | Primary |
Addresses
Primary practice location
102 S 7TH St
Midlothian, TX 76065-3212
Mailing address
102 S 7TH St
Midlothian, TX 76065-3212
Phone (214) 707-1708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35148 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.L.C Dental, PLLC | Current | Accepting new patients | |
| Goliad Dental Care | General Practice | Past | Accepting new patients |
| Amdg Dental PLLC | Past | Accepting new patients |
Locations
102 S 7th St
Midlothian, TX 76065
Phone (214) 707-1708
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.
-
dba Aesthetic & Implant Dentistry
- Dental Clinic/Center
- Midlothian, TX
- NPI 1588232755
-
- General Practice Dentistry
- Goliad, TX
- NPI 1003924267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1093376238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S 7TH ST",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760653212",
"telephone_number": "214-707-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S 7TH ST",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760653212",
"telephone_number": "214-707-1708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "NOE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-27",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "35148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.