San Dario Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAN DARIO DENTISTRY, PLLC

Practice address

4817 San Dario Ave
Laredo, TX 78041-5754

Phone

(956) 728-7667

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Everett C Evans, DDS

Title

Owner/Dentist

Phone

(940) 220-7833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1245861145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N INTERSTATE 35 STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 SAN DARIO AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415754",
            "telephone_number": "956-728-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DARIO DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "940-220-7833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• San Antonio Extended Medical Care, Inc. (Med Mart)
• San Dario Avenue Dental, PLLC
• San Dario Dental and Orthodontics PLLC
• San Isidro Medical Center PLLC
• San Jose Home Health
• San Jose Home Health Care, LLC
• Ruben Sanabia, PTA
• Hernan Alberto Sanchez Trejo, M.D.

• General Practice Dentistry in Laredo, TX
• Providers in Laredo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.