Organization Active NPI

West Frisco Center of Oral Surgery, PLLC

Doing business as CARDENAS Dental Implants and Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Harlingen, TX
National Provider Identifier
1174794416
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20431 Issued in TX
Legal business name
WEST FRISCO CENTER OF ORAL SURGERY, PLLC
Doing business as
CARDENAS Dental Implants and Oral Surgery
Practice address
2121 Pease St
Medical Arts Pavilion, Suite 314
Harlingen, TX 78550
Phone
(956) 216-7570
Fax
(956) 216-7571
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dr. Omel Gerardo Cardenas, D.D.S.
Title
President/ Oral Surgeon
Phone
(214) 872-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 20431 TX Primary

Addresses

Primary practice location

2121 Pease St
Medical Arts Pavilion, Suite 314
Harlingen, TX 78550

Mailing address

2121 Pease St
Medical Arts Pavilion, Suite 314
Harlingen, TX 78550
Phone (956) 216-7570

Other names 1

  • CARDENAS Dental Implants and Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

12398 FM 423
Ste 200
Frisco, TX 75033
Phone (214) 705-1660

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1174794416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 PEASE ST",
            "address_2": "MEDICAL ARTS PAVILION, SUITE 314",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-216-7570",
            "fax_number": "956-216-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 PEASE ST",
            "address_2": "MEDICAL ARTS PAVILION, SUITE 314",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-216-7570",
            "fax_number": "956-216-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FRISCO CENTER OF ORAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "OMEL",
        "authorized_official_middle_name": "GERARDO",
        "authorized_official_title_or_position": "PRESIDENT/ ORAL SURGEON",
        "authorized_official_telephone_number": "214-872-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "20431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARDENAS Dental Implants and Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.