NPIMap

Organization Active NPI

The Dental Place, PC

  • Dental Hygienist
  • Portland, TX
National Provider Identifier
1215030838
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
13838 Issued in TX
Legal business name
THE DENTAL PLACE, PC
Practice address
213 Cedar Dr
Suite C
Portland, TX 78374-2900
Phone
(361) 643-2522
Fax
(361) 643-1266
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Carlos V Jaramillo, DDSNPI 1326106071
Title
Dentist
Phone
(361) 643-2522

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 15633 TX
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X 13559 TX
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X 14040 TX
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X 13838 TX Primary

Addresses

Primary practice location

213 Cedar Dr
Suite C
Portland, TX 78374-2900

Mailing address

213 Cedar Dr
Suite C
Portland, TX 78374-2900
Phone (361) 643-2522

National Provider Directory

National Provider Directory

Locations

213 Cedar Dr
Ste C
Portland, TX 78374
Phone (361) 643-2522

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215030838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CEDAR DR",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742900",
            "telephone_number": "361-643-2522",
            "fax_number": "361-643-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CEDAR DR",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742900",
            "telephone_number": "361-643-2522",
            "fax_number": "361-643-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL PLACE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "361-643-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15633",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "13559",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "14040",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "13838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.