Individual provider Active NPI

Eric A. Valle, DDS

  • General Practice Dentistry
  • Brownsville, TX
National Provider Identifier
1447210224
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18105 Issued in TX
Practice address
3675 Boca Chica Blvd
Ste a
Brownsville, TX 78521-4483
Phone
(956) 542-5545
Fax
(956) 542-5547
NPI assigned
Mar 24, 2006
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18105 TX Primary

Addresses

Primary practice location

3675 Boca Chica Blvd
Ste a
Brownsville, TX 78521-4483

Mailing address

3675 Boca Chica Blvd Ste a
Brownsville, TX 78521-4484
Phone (956) 542-5545

Other identifiers 1

IdentifierTypeStateIssuer
1447210224MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160523001287 TX Order and Referring Only - DentistPractitioner - Dentist 8729377262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brownsville Dental Associates Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1447210224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 BOCA CHICA BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214484",
            "telephone_number": "956-542-5545",
            "fax_number": "956-542-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 BOCA CHICA BLVD",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214483",
            "telephone_number": "956-542-5545",
            "fax_number": "956-542-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "ERIC",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447210224",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.