Organization Active NPI

JV Dental PLLC

  • Dentist
  • San Juan, TX
National Provider Identifier
1477215101
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JV DENTAL PLLC
Practice address
1203 N Raul Longoria Rd Ste L
San Juan, TX 78589-3742
Phone
(956) 787-4840
NPI assigned
Oct 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Dr. Jose L Villarreal, DDSNPI 1669516928
Title
President
Phone
(956) 537-9933

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1203 N Raul Longoria Rd Ste L
San Juan, TX 78589-3742

Mailing address

1203 N Raul Longoria Rd Ste L
San Juan, TX 78589-3742
Phone (956) 787-4840

National Provider Directory

National Provider Directory

Locations

1203 N Raul Longoria Rd
Ste L
San Juan, TX 78589
Phone (956) 787-4840

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1477215101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N RAUL LONGORIA RD STE L",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893742",
            "telephone_number": "956-787-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N RAUL LONGORIA RD STE L",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893742",
            "telephone_number": "956-787-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JV DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-537-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.