Organization Active NPI

New Horizons Family Dentistry of Mission PLLC

  • General Practice Dentistry
  • McAllen, TX
National Provider Identifier
1437417979
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24288 Issued in TX
Legal business name
NEW HORIZONS FAMILY DENTISTRY OF MISSION PLLC
Practice address
712 Lindberg Avenue
McAllen, TX 78501
Phone
(956) 583-5430
Fax
(956) 583-5431
NPI assigned
May 2, 2012
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Samuel Duran Jr., DDS
Title
Dentist
Phone
(956) 583-5430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24288 TX Primary

Addresses

Primary practice location

712 Lindberg Avenue
McAllen, TX 78501

Mailing address

2413 E Expressway 83
Suite 50
Mission, TX 78572
Phone (956) 583-5430

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1437417979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 E EXPRESSWAY 83",
            "address_2": "SUITE 50",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-583-5430",
            "fax_number": "956-583-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 LINDBERG AVENUE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "956-583-5430",
            "fax_number": "956-583-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS FAMILY DENTISTRY OF MISSION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-583-5430",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "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 May 2, 2012; 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.