Active NPI
Cynthia Garcia Longoria, DDS
- General Practice Dentistry
- Edinburg, TX
National Provider Identifier
1487878252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22830
- Practice address
- 212 Remington Ave
Edinburg, TX 78539-3930 - Phone
- (956) 380-6933
- Fax
- (956) 383-8986
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22830 | TX | Primary |
Addresses
Primary practice location
212 Remington Ave
Edinburg, TX 78539-3930
Mailing address
212 Remington Ave
Edinburg, TX 78539-3930
Phone (956) 380-6933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188786101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22830 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Creek Dental Center | General Practice | Current | Accepting new patients |
Locations
212 Remington Ave
Edinburg, TX 78539
Phone (956) 316-1600
2105 Jackson Crk
Edinburg, TX 78539
Phone (956) 609-8100
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Edinburg, TX
- NPI 1962700161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1487878252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 REMINGTON AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785393930",
"telephone_number": "956-380-6933",
"fax_number": "956-383-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 REMINGTON AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785393930",
"telephone_number": "956-380-6933",
"fax_number": "956-383-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGORIA",
"first_name": "CYNTHIA",
"middle_name": "GARCIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188786101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.