Juan C Echeverri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16902 Issued in TX

Practice address

7844 Long Point Rd
Houston, TX 77055-3621

Phone

(713) 956-8767

Fax

(713) 956-1952

NPI assigned

Jun 16, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 23, 2016 through Mar 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Juan C Echevern DDS Professional Corp

  dba Echeverri Dental Center

  • General Practice Dentistry
  • Houston, TX
  • NPI 1790805141
  NPD (past) Authorized official

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255336186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7844 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553621",
            "telephone_number": "713-956-8767",
            "fax_number": "713-956-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7844 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553621",
            "telephone_number": "713-956-8767",
            "fax_number": "713-956-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRI",
        "first_name": "JUAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-09",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126742902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zeinep O. Echetebu, O.D., PH.D.
• Vivian Echevarria-Guzman, LPC
• Jose Ignacio Echeverri Alegre, MD
• Maria Adelaida Echeverri Velez, DDS, MS
• Elsa A. Echeverri, DDS
• Luis Guillermo Echeverri, MD
• Adriana Maria Echeverria de Benegas, M.D.
• Alfredo Enrique Echeverria, M.D.
• Amanda Echeverria, DDS, MS
• Jenessa Echeverria

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.