Individual provider Active NPI

Allan Rodrigo Jauregui, DMD

  • Dentist
  • Seguin, TX
National Provider Identifier
1437671229
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33217 Issued in TX
Practice address
1507 E Court St Ste 107
Seguin, TX 78155-5265
Phone
(830) 372-9979
NPI assigned
Jul 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33217 TX Primary
General Practice Dentistry 1223G0001X 33217 TX

Addresses

Primary practice location

1507 E Court St Ste 107
Seguin, TX 78155-5265

Mailing address

19534 Azure Oak
San Antonio, TX 78258-3114
Phone (210) 372-2029

Other practice location 1

102 Babcock Rd Ste 101
San Antonio, TX 78201-3960
Phone (210) 738-8899

Other practice location 2

206 Stone Gate Dr
New Braunfels, TX 78130-2486
Phone (830) 625-6410

Other identifiers 1

IdentifierTypeStateIssuer
33217OtherTXTEXAS STATE BOARD OF DENTAL EXAMINERS

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
33217TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1437671229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19534 AZURE OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583114",
            "telephone_number": "210-372-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 E COURT ST STE 107",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555265",
            "telephone_number": "830-372-9979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Babcock Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782013960",
            "country_code": "US",
            "telephone_number": "210-738-8899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Stone Gate Dr",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781302486",
            "country_code": "US",
            "telephone_number": "830-625-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAUREGUI",
        "first_name": "ALLAN",
        "middle_name": "RODRIGO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33217",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "33217",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.