Individual provider Active NPI

Ashley Yuridian Zuniga, DDS

  • General Practice Dentistry
  • San Juan, TX
National Provider Identifier
1457081218
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38509 Issued in TX
Practice address
801 W 1St St
San Juan, TX 78589-2276
Phone
(956) 787-8915
Fax
(956) 787-2021
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 38509 TX Primary

Addresses

Primary practice location

801 W 1St St
San Juan, TX 78589-2276

Mailing address

PO Box 1689
Pharr, TX 78577-1630
Phone (956) 787-0787

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
I20231016001844 TX Practitioner - Dentist 5395190037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38509TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuestra Clinica del Valle, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Nuestra Clinica del Valle, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Advanced Dentistry & Headache Center PastSince Jun 1, 2022 Accepting new patients

Locations

1500 W 1st St
Mercedes, TX 78570
Phone (956) 565-3191

611 N Bryan Rd
Mission, TX 78572
Phone (956) 580-3303

801 W 1st St
San Juan, TX 78589
Phone (956) 787-0787

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1457081218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771630",
            "telephone_number": "956-787-0787",
            "fax_number": "956-787-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 1ST ST",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892276",
            "telephone_number": "956-787-8915",
            "fax_number": "956-787-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "ASHLEY",
        "middle_name": "YURIDIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

Verify at the official NPI Registry.