Alfonso Gerardo Pozas Guajardo, D.D.S., M.S.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12013472A Issued in IN

Practice address

2102 E Tyler Ave
Harlingen, TX 78550-7191

Phone

(956) 440-8700

NPI assigned

Mar 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Dr. Linda T. Burke

  • Pediatric Dentistry
  • Harlingen, TX
  • NPI 1770784720
  NPD (past)
• Dentistry for Children of Indiana, LLC

  • Dentist
  • Muncie, IN
  • NPI 1720543564
  NPD (past)
• Jaime O. Lemna, PC

  • Dental Clinic/Center
  • Muncie, IN
  • NPI 1124494752
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1306208376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 E TYLER AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507191",
            "telephone_number": "956-440-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 E TYLER AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507191",
            "telephone_number": "956-440-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Preston St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021701",
            "country_code": "US",
            "telephone_number": "502-852-3544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 W McGalliard Rd",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473042188",
            "country_code": "US",
            "telephone_number": "765-288-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POZAS GUAJARDO",
        "first_name": "ALFONSO",
        "middle_name": "GERARDO",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "32741",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12013472A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Portillo
• Corissa Marie Posada, RN
• Rolando Posada, M.D.
• Savvas Costas Poulos, M.D.
• Moniel Feuerman Powell, M.A., L.M.F.T.
• Evelyn Prado Serrato, LVN
• Prasad Pilli, M.D., P.a.
• Precious Gems Primary Home Care LLC
• Premier Care DME, LLC
• Jessica Y Prepejchal, COTA

• Pediatric Dentistry in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.