NPIMap

Organization Active NPI

McColl Dental Center

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1265697494
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15967 Issued in TX
Legal business name
MCCOLL DENTAL CENTER
Practice address
1314 S McColl Rd
Edinburg, TX 78539-7989
Phone
(956) 316-1582
Fax
(956) 380-1176
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Ms. Rosi Menendez
Title
Office Manager
Phone
(956) 316-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15967 TX Primary

Addresses

Primary practice location

1314 S McColl Rd
Edinburg, TX 78539-7989

Mailing address

1314 S McColl Rd
Edinburg, TX 78539-7989
Phone (956) 316-1582

Other identifiers 2

IdentifierTypeStateIssuer
156783601MedicaidTX
B1596701OtherTXCHIP DENTAL SERVICES

National Provider Directory

National Provider Directory

Locations

1314 S McColl Rd
Edinburg, TX 78539
Phone (956) 316-1582

Practitioners & affiliated clinicians

Practitioners 2

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": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1265697494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397989",
            "telephone_number": "956-316-1582",
            "fax_number": "956-380-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397989",
            "telephone_number": "956-316-1582",
            "fax_number": "956-380-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOLL DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "ROSI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-316-1582",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156783601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP DENTAL SERVICES",
            "identifier": "B1596701",
            "state": "TX"
        }
    ],
    "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 Jul 28, 2008; 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.