NPIMap

Organization Active NPI

FV Denta PLLC

Doing business as Kids Dental & Orthodontics

  • Dentist
  • Socorro, TX
National Provider Identifier
1114541372
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FV DENTA PLLC
Doing business as
Kids Dental & Orthodontics
Practice address
10670 N. Loop Dr.
Socorro, TX 79927
Phone
(915) 444-2567
Fax
(949) 537-7137
NPI assigned
Jun 3, 2020
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Edward Lee Vera, DMDNPI 1033468368
Title
Owner-Dentist
Phone
(915) 444-2567

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
Dentist 122300000X Primary
Pediatric Dentistry 1223P0221X

Addresses

Primary practice location

10670 N. Loop Dr.
Socorro, TX 79927

Mailing address

10670 N. Loop Dr.
Socorro, TX 79927
Phone (915) 444-2567

Other names 1

  • Kids Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FV Denta PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10670 N Loop Dr
Socorro, TX 79927
Phone (915) 444-2567

Practitioners & affiliated clinicians

Practitioners 1

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": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1114541372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 N. LOOP DR.",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "79927",
            "telephone_number": "915-444-2567",
            "fax_number": "949-537-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 N. LOOP DR.",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "79927",
            "telephone_number": "915-444-2567",
            "fax_number": "949-537-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FV DENTA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER-DENTIST",
        "authorized_official_telephone_number": "915-444-2567",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Socorro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.