Javier O. De la Garza, D.D.S., P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21334 Issued in TX

Practice address

901 E 6TH St
Suite 2
Weslaco, TX 78596-4202

Phone

(956) 968-8713

Fax

(956) 973-9649

NPI assigned

Mar 2, 2010

Sex

Male

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Javier O. de la Garza, DDS, PA

  • General Practice Dentistry
  • Weslaco, TX
  • NPI 1275728909
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1114240363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E. 6TH ST.",
            "address_2": "SUITE 2",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "956-968-8713",
            "fax_number": "956-973-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 6TH ST",
            "address_2": "SUITE 2",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964202",
            "telephone_number": "956-968-8713",
            "fax_number": "956-973-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA GARZA",
        "first_name": "JAVIER",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daydream Family Dentistry PLLC
• Daydream Family Dentistry PLLC
• Jessica Marcela Daza, MD
• De Fe Provider Health Services LLC (De Fe Provider Health Services)
• Michael Isaiah De la Fuente
• Kassandra De la Garza
• Lydia Veronica De la Garza, LMSW
• Michelle Annette De la Garza
• De la Rosa Pharmacy
• De la Rosa Pharmacy

• General Practice Dentistry in Weslaco, TX
• Providers in Weslaco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.