Serapio de la Rosa Jr DDS & Associates Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SERAPIO DE LA ROSA JR DDS & ASSOCIATES INC

Practice address

985 S Sam Houston Blvd
San Benito, TX 78586-3064

Phone

(936) 399-4312

Fax

(956) 399-9337

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Serapio De la Rosa Jr., D.D.S.

Title

Dentist/Owner

Phone

(956) 399-4312

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1346494382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 S SAM HOUSTON BLVD",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785863064",
            "telephone_number": "936-399-4312",
            "fax_number": "956-399-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 S SAM HOUSTON BLVD",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785863064",
            "telephone_number": "936-399-4312",
            "fax_number": "956-399-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAPIO DE LA ROSA JR DDS & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "SERAPIO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "956-399-4312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "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": "111234402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Benito, TX
• Providers in San Benito, 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 Nov 4, 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.