NPIMap

Organization Active NPI

Los Ebanos Family Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brownsville, TX
National Provider Identifier
1487871711
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22054 Issued in TX
Legal business name
LOS EBANOS FAMILY DENTISTRY
Practice address
925 E Los Ebanos Blvd
Brownsville, TX 78520-8726
Phone
(956) 542-1177
Fax
(956) 542-0033
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Lillian Adame Nelson, DDSNPI 1619988342
Title
Dentist
Phone
(956) 542-1177

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 18988 TX
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 21228 TX
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 22054 TX Primary

Addresses

Primary practice location

925 E Los Ebanos Blvd
Brownsville, TX 78520-8726

Mailing address

925 E Los Ebanos Blvd
Brownsville, TX 78520-8726
Phone (956) 542-1177

National Provider Directory

National Provider Directory

Locations

925 E Los Ebanos Blvd
Brownsville, TX 78520
Phone (956) 542-1177

Practitioners & affiliated clinicians

Practitioners 3

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487871711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E LOS EBANOS BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208726",
            "telephone_number": "956-542-1177",
            "fax_number": "956-542-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E LOS EBANOS BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208726",
            "telephone_number": "956-542-1177",
            "fax_number": "956-542-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS EBANOS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "ADAME",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-542-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18988",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21228",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22054",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 11, 2025; 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.