Active NPI
Jose Avalos, DDS
- General Practice Dentistry
- Wylie, TX
National Provider Identifier
1124698832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37382
- Practice address
- 3839 Parker Rd Ste 101
Wylie, TX 75098-7818 - Phone
- (469) 945-3989
- NPI assigned
- Jun 26, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 37382 | TX | Primary |
Addresses
Primary practice location
3839 Parker Rd Ste 101
Wylie, TX 75098-7818
Mailing address
14240 Cottontail Dr
Frisco, TX 75033-0731
Phone (214) 557-1324
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 |
|---|---|---|---|
| 37382 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avalos Dental PLLC | Current | Accepting new patients |
Locations
3839 Parker Rd
Ste 101
Wylie, TX 75098
Phone (469) 945-3989
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Wylie, TX
- NPI 1033952171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1124698832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14240 COTTONTAIL DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750330731",
"telephone_number": "214-557-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3839 PARKER RD STE 101",
"city": "WYLIE",
"state": "TX",
"postal_code": "750987818",
"telephone_number": "469-945-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVALOS",
"first_name": "JOSE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-26",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "37382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.