Organization Active NPI

Elena Bedilo DMD, Inc

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1194131318
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30190 Issued in TX
Legal business name
ELENA BEDILO DMD, INC
Practice address
1156 W Monte Cristo Rd
Edinburg, TX 78541-4541
Phone
(956) 380-0070
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Elena Bedilo, D.M.D
Title
Owner
Phone
(956) 380-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30190 TX Primary

Addresses

Primary practice location

1156 W Monte Cristo Rd
Edinburg, TX 78541-4541

Mailing address

1156 W Monte Cristo Rd
Edinburg, TX 78541-4541

National Provider Directory

National Provider Directory

Locations

1156 W Monte Cristo Rd
Edinburg, TX 78541
Phone (956) 380-0070

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1194131318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 W MONTE CRISTO RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785414541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 W MONTE CRISTO RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785414541",
            "telephone_number": "956-380-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA BEDILO DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "BEDILO",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-380-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.