Ana Magdalena Ibarra Noriega

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

40951 Issued in TX

Practice address

901 S Highway 123 Byp
Seguin, TX 78155-9719

Phone

(830) 372-3725

NPI assigned

Sep 11, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Alligator Dental

  dba Alligator Dental Gonzalez

  • Pediatric Dentistry
  • Gonzales, TX
  • NPI 1952123960
  NPD
• Alligator Dental

  • Pediatric Dentistry
  • Seguin, TX
  • NPI 1114156957
  NPD (past)

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1114753506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S HIGHWAY 123 BYP",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781559719",
            "telephone_number": "830-372-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S HIGHWAY 123 BYP",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781559719",
            "telephone_number": "830-372-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA NORIEGA",
        "first_name": "ANA",
        "middle_name": "MAGDALENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "40951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaliah Janae Howard, WHNP
• Patricia E Huber, LCSW
• Elisabeth Anne Hudson, FNP
• John H Hudson, DDS
• Jason Hunt, D.D.S.
• Darvin John Villarico Ignacio, ATC, LAT
• Isaac Isak, PHARMACIST
• Nicholas Israel
• Jack L Deetjen MD
• Jack L Deetjen MD PLLC

• Pediatric Dentistry in Seguin, TX
• Providers in Seguin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.