Individual provider Active NPI

Eric Estrada, RDN, LD

  • Registered Dietitian
  • McAllen, TX
National Provider Identifier
1356587992
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
980744 Issued in TX
Practice address
709 N Ware Rd Ste 7
McAllen, TX 78501-6623
Phone
(956) 213-8686
Fax
(956) 688-8340
NPI assigned
Jan 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 980744 TX Primary

Addresses

Primary practice location

709 N Ware Rd Ste 7
McAllen, TX 78501-6623

Mailing address

725 N Ware Rd # 7
McAllen, TX 78501-6616
Phone (956) 213-8686

Other identifiers 1

IdentifierTypeStateIssuer
20047772-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
980744TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1356587992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N WARE RD # 7",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016616",
            "telephone_number": "956-213-8686",
            "fax_number": "956-688-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N WARE RD STE 7",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016623",
            "telephone_number": "956-213-8686",
            "fax_number": "956-688-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-04",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "980744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20047772-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.