NPIMap

Organization Active NPI

Salazar Dental Serivces,PA

  • General Practice Dentistry
  • Port Isabel, TX
National Provider Identifier
1144534553
Registry record updated Jun 11, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22781 Issued in TX
Legal business name
SALAZAR DENTAL SERIVCES,PA
Practice address
215 W Queen Isabella Ste a
Port Isabel, TX 78578-2418
Phone
(956) 943-4166
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Miss Sondra Leigh III, D.D.S.
Title
President
Phone
(956) 943-4166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22781 TX Primary

Addresses

Primary practice location

215 W Queen Isabella Ste a
Port Isabel, TX 78578-2418

Mailing address

PO Box 1584
Port Isabel, TX 78578-1584
Phone (281) 658-5083

Other identifiers 1

IdentifierTypeStateIssuer
213930501MedicaidTX

Other names 1

  • Port Isabel Dental Doing business as

National Provider Directory

National Provider Directory

Locations

215 W Queen Isabella Blvd
Ste A
Port Isabel, TX 78578
Phone (956) 943-4166

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1144534553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1584",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785781584",
            "telephone_number": "281-658-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W QUEEN ISABELLA STE A",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782418",
            "telephone_number": "956-943-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAZAR DENTAL SERIVCES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "LEIGH",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-943-4166",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213930501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Isabel Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Isabel, TX

Sources for this page

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