Active NPI
Little Manhattan Pediatric Dentistry,PLLC
- Pediatric Dentistry
- San Juan, TX
National Provider Identifier
1508122094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22644
- Legal business name
- LITTLE MANHATTAN PEDIATRIC DENTISTRY,PLLC
- Practice address
- 423 W. Highway 495
San Juan, TX 78589-9998 - Phone
- (956) 537-6764
- NPI assigned
- Apr 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sergio Ivan Guzman
- Title
- Pediatric Dentist
- Phone
- (956) 607-0732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22644 | TX | Primary |
Addresses
Primary practice location
423 W. Highway 495
San Juan, TX 78589-9998
Mailing address
423 W. Highway 495
San Juan, TX 78589-9998
Phone (956) 537-6764
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333929600000",
"number": "1508122094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 W. HIGHWAY 495",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785899998",
"telephone_number": "956-537-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 W. HIGHWAY 495",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785899998",
"telephone_number": "956-537-6764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE MANHATTAN PEDIATRIC DENTISTRY,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A",
"authorized_official_last_name": "GUZMAN",
"authorized_official_first_name": "DR. SERGIO",
"authorized_official_middle_name": "IVAN",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "956-607-0732"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "22644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, TX
- Legacy Smiles of San Juan PLLC
- Life Skills Therapy Center
- Lifechek Dennison LLC (San Juan Pharmacy)
- Line Care Health Services, LLC. (El Alcoiris Healthcare)
- Liquid Dental, PLLC (Agua Dental)
- Gregoria Lopez, LBSW
- Yolanda T. Lopez, LMSW
- Los Encinos Adult Day Care Center, Inc.
- Luanna Roxanne Lozano
- Victor Luikham, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.