Kevin Paul Osborne, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25008 Issued in TX

Practice address

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

Phone

(956) 546-2973

Fax

(956) 546-1342

NPI assigned

Jul 2, 2009

Last updated

Dec 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Dental Medicare

  dba Valley Dental

  • Dentist
  • Brownsville, TX
  • NPI 1639987068
  NPD Authorized official
• Valley Dental PA

  • General Practice Dentistry
  • Brownsville, TX
  • NPI 1316039910
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1407085020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 BOCA CHICA BLVD",
            "address_2": "#200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212230",
            "telephone_number": "956-546-2983",
            "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": "#200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212230",
            "telephone_number": "956-546-2973",
            "fax_number": "956-546-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "KEVIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7809",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Netter Jacobo Ortiz, MD
• Noe Nilo Ortiz Jr.
• Regina Deanna Ortiz, PA-C
• Rogelio Rene Ortiz, FNP-BC
• Yvonne Ortiz, SLPA
• Kevin P Osmers, PHARMD
• Oryana Otero
• Rafael Otero
• Outcomes Detox Center, LLC
• Outpatient Hospital Services, 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 Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.