Organization Active NPI

Manuel Pazmino, Jr., D.D.S., PLLC

  • General Practice Dentistry
  • Temple, TX
National Provider Identifier
1194179762
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30119 Issued in TX
Legal business name
MANUEL PAZMINO, JR., D.D.S., PLLC
Practice address
3013 Scott Blvd
Temple, TX 76504-6815
Phone
(254) 778-3587
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Dr. Manuel Pazmino Jr., D.D.S.NPI 1033523204
Title
Member
Phone
(254) 778-3587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30119 TX Primary

Addresses

Primary practice location

3013 Scott Blvd
Temple, TX 76504-6815

Mailing address

3013 Scott Blvd
Temple, TX 76504-6815

National Provider Directory

National Provider Directory

Locations

3013 Scott Blvd
Temple, TX 76504
Phone (254) 778-3587

Practitioners & affiliated clinicians

Practitioners 4

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": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1194179762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 SCOTT BLVD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 SCOTT BLVD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046815",
            "telephone_number": "254-778-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL PAZMINO, JR., D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "PAZMINO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-778-3587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.