Fiesta Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

25831 Issued in TX

Legal business name

FIESTA DENTAL PLLC

Practice address

166 Menefee St
Suite C
Hondo, TX 78861

Phone

(201) 920-6343

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Tejal Dhanani

Title

Owner

Phone

(682) 234-4603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1174922504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 MENEFEE ST",
            "address_2": "SUITE C",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "78861",
            "telephone_number": "617-913-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MENEFEE ST",
            "address_2": "SUITE C",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "78861",
            "telephone_number": "201-920-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "DHANANI",
        "authorized_official_first_name": "TEJAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-234-4603"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily S. Meyer, MD, PA
• Mark A Erspamer, CRNA
• Brooke Ashly Esquivel
• Megan Laughinghouse Favor
• Tesoro Marie Fernandez, MASSAGE THERAPIST
• Fiesta Dental-Hondo PLLC
• Bailey Renee Fowler, NP
• Marisol Adame Franklin
• G. Betancourt DDS PLLC
• Liborio Garcia Jr., D.C.

• Dentist in Hondo, TX
• Providers in Hondo, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.