Jaser Diaz DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

24685 Issued in TX

Legal business name

JASER DIAZ DDS PLLC

Doing business as

Smile Pro Dentistry

Practice address

3013 E Main Ave Ste B
Alton, TX 78573-0932

Phone

(956) 583-0135

Fax

(956) 583-0886

NPI assigned

Jan 18, 2013

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jaser Diaz, DDSNPI 1548490220

Title

Owner

Phone

(956) 583-0135

Specialties & licenses 1

Addresses

Other names 1

• Smile Pro Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaser Diaz, D.D.S

  • Dentist
  • Alton, TX
  • NPI 1548490220
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1366780777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 E MAIN AVE STE B",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785730932",
            "telephone_number": "956-583-0135",
            "fax_number": "956-583-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 E MAIN AVE STE B",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785730932",
            "telephone_number": "956-583-0135",
            "fax_number": "956-583-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASER DIAZ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JASER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-583-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Pro Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth R Hernandez, SLP
• Imelda Hernandez
• Marleni Hernandez
• Lindsay Renee Hoffman, OTR
• I'LL Be There Home Care, LLC.
• Maria Delourdes Joya, COTA
• La Placita Adult Day Care, Inc.
• Little Donkey Health Services Inc (Alton Family Clinic)
• Little Donkey Health Services Inc. (Alton Family Clinic)
• Main St Dental PLLC

• Dentist in Alton, TX
• Providers in Alton, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.