Valley Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VALLEY DENTAL PA

Practice address

2334 Boca Chica Blvd
Suite #200
Brownsville, TX 78521-2230

Phone

(956) 546-2973

Fax

(956) 546-1342

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wendell David, DDSNPI 1134282171

Title

Direct Owner

Phone

(956) 546-2973

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendell Keith David, DDS

  • General Practice Dentistry
  • Brownsville, TX
  • NPI 1134282171
  NPD (past) Authorized official
• Kevin Paul Osborne, DMD

  • General Practice Dentistry
  • Brownsville, TX
  • NPI 1407085020
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1316039910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 BOCA CHICA BLVD",
            "address_2": "SUITE #200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212230",
            "telephone_number": "956-546-2973",
            "fax_number": "956-546-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 BOCA CHICA BLVD",
            "address_2": "SUITE #200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212230",
            "telephone_number": "956-546-2973",
            "fax_number": "956-546-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "956-546-2973",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162986701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP PROVIDER NUMBE",
            "identifier": "G60109-6",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Cardiothoracic Surgical Associates
• Valley Care Home Health II, LLC
• Valley Care Home Health Services , LLC
• Valley Cataract Institute, P.a.
• Valley Dental Medicare
• Valley Doctors Clinic of Brownsville PLLC
• Valley Express DME LLC
• Valley Foot and Ankle Associates PA
• Valley Grande Manor Inc
• Valley Grande SCC LLC

• General Practice Dentistry in Brownsville, TX
• Providers in Brownsville, 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 Sep 11, 2014; 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.