Wilmer Paul Orjuela, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

28777 Issued in TX

Practice address

1560 E Canton Rd Ste G
Edinburg, TX 78542-2995

Phone

(956) 415-0343

NPI assigned

Aug 9, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Oral and Craniofacial Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Edinburg, TX
  • NPI 1750699682
  Medicare reassignment NPD
• Schwarz, Cruz, LLP

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • McAllen, TX
  • NPI 1881744241
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1104173087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 DRAKENSBURG AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785390127",
            "telephone_number": "956-687-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E CANTON RD STE G",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785422995",
            "telephone_number": "956-415-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORJUELA",
        "first_name": "WILMER",
        "middle_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "28777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oral and Maxillofacial Surgery of South Texas, P.a.
• Kevin Orellana
• Gerardo Athanasi Orfanos, DDS
• Gerardo Athanasi Orfanos, M.D.
• Saulina Rosario Orizaga, FNP
• Javier Ornelas Jr., LPC ASSOCIATE
• Myrna J. Ornelas, MS CCC/SLP
• Orozco Counseling Center
• Veronica Orozco, OTR, M.S.
• Natalie Orta

• Oral and Maxillofacial Surgery (Dentist) in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.