Jessica De la Fuente, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38449 Issued in TX

Practice address

2310 Spur 54 Ste 6
Harlingen, TX 78552-0095

Phone

(956) 622-3052

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Los Ebanos Family Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brownsville, TX
  • NPI 1487871711

  General Practice

  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1396475810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E SAINT CHARLES ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785205348",
            "telephone_number": "956-466-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 SPUR 54 STE 6",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785520095",
            "telephone_number": "956-622-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA FUENTE",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Yvette Davis, CRNA
• Alyssa Dawson, CRNA
• Janet De Alba
• Rosa Elia De Anda, LVN
• Cesar De Dios, PHARMD
• Aurora De la Garza, RN
• Aurora De la Garza, COTA
• Iliana A De la Garza, LVN
• Danielle Nicole De la Rosa, M.S., CF-SLP
• Priscilla De la Rosa

• General Practice Dentistry in Harlingen, TX
• Providers in Harlingen, 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 Jan 16, 2024; 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.