NPIMap

Organization Active NPI

Javier O. de la Garza, DDS, PA

  • General Practice Dentistry
  • Weslaco, TX
National Provider Identifier
1275728909
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21334 Issued in TX
Legal business name
JAVIER O. DE LA GARZA, DDS, PA
Practice address
901 E 6TH St Ste 2
Weslaco, TX 78596-6449
Phone
(956) 968-8713
Fax
(956) 973-9649
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Javier O De la Garza, DDSNPI 1114240363
Title
Dentist
Phone
(956) 968-8713

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 21334 TX Primary

Addresses

Primary practice location

901 E 6TH St Ste 2
Weslaco, TX 78596-6449

Mailing address

901 E 6TH St Ste 2
Weslaco, TX 78596-6449
Phone (956) 968-8713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190830001937 TX Part B Supplier - Clinic/Group Practice 6608105598 Receives reassigned benefits from 1 practitioner
Practice locations: Weslaco, TX

National Provider Directory

National Provider Directory

Locations

1210 E 8th St
Ste 2
Weslaco, TX 78596
Phone (956) 969-2591

901 E 6th St
Ste 2
Weslaco, TX 78596
Phone (956) 968-6049

Practitioners & affiliated clinicians

Practitioners 6

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1275728909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 6TH ST STE 2",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966449",
            "telephone_number": "956-968-8713",
            "fax_number": "956-973-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 6TH ST STE 2",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966449",
            "telephone_number": "956-968-8713",
            "fax_number": "956-973-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER O. DE LA GARZA, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "DE LA GARZA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-968-8713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.