Individual provider Active NPI

Cynthia Garcia Longoria, DDS

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1487878252
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22830 Issued in TX
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

Updated by the provider on Apr 21, 2021

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 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

IdentifierTypeStateIssuer
188786101MedicaidTX

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

LicenseStateTypeSpecialty
22830TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Creek Dental Center General Practice CurrentSince May 9, 2021 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.

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.

Verify at the official NPI Registry.