Klarissa Ann Renteria, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31224 Issued in TX

Practice address

519 S Missouri Ave
Weslaco, TX 78596-6019

Phone

(956) 968-6561

NPI assigned

Aug 4, 2015

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: krenteria67349@direct.utmsa.com

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.

• Daydream Family Dentistry PLLC

  • Dentist
  • Weslaco, TX
  • NPI 1548644024

  General Practice

  NPD (past)
• Daydream Family Dentistry PLLC

  • Customized Equipment (DME)
  • Weslaco, TX
  • NPI 1700614518
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1144606997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DAYDREAM FAMILY DENTISTRY",
            "address_2": "519 S. MISSOURI AVE",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "956-968-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S MISSOURI AVE",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966019",
            "telephone_number": "956-968-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 W Mahl St",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785394331",
            "country_code": "US",
            "telephone_number": "956-383-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTERIA",
        "first_name": "KLARISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Renaissance Outpatient Rehabilitation Center, LLC.
• Aileen Karina Rendon
• Retama Manor
• Juan Rey Mendoza, M.D
• Michael Reyes
• RGV Allied Health Group, LLC.
• RGV Center for Obesity and Metabolic Health PLLC

• 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 Nov 16, 2018; 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.