Organization Active NPI

Lower Valley Dental Associates

  • General Practice Dentistry
  • Brownsville, TX
National Provider Identifier
1467641357
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LOWER VALLEY DENTAL ASSOCIATES
Practice address
4920 N Expressway Ste D
Brownsville, TX 78526-4335
Phone
(956) 350-0059
Fax
(956) 350-5447
NPI assigned
Oct 17, 2007
Last updated
Jul 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Dr. Jordan Patrick Pirtle, DDSNPI 1447266374
Title
Owner/Dentist
Phone
(956) 350-0059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
General Practice Dentistry 1223G0001X Primary
Pediatric Dentistry 1223P0221X
Prosthodontics 1223P0700X

Addresses

Primary practice location

4920 N Expressway Ste D
Brownsville, TX 78526-4335

Mailing address

4920 N Expressway Ste D
Brownsville, TX 78526-4335
Phone (956) 350-0059

Other identifiers 1

IdentifierTypeStateIssuer
180346201MedicaidTX

National Provider Directory

National Provider Directory

Locations

4920 N Expressway
Ste D
Brownsville, TX 78526
Phone (956) 350-0059

4920 N Expressway
Ste E
Brownsville, TX 78526
Phone (956) 350-0059

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1467641357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 N EXPRESSWAY STE D",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264335",
            "telephone_number": "956-350-0059",
            "fax_number": "956-350-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 N EXPRESSWAY STE D",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264335",
            "telephone_number": "956-350-0059",
            "fax_number": "956-350-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER VALLEY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "PIRTLE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "956-350-0059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180346201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.