Organization Active NPI

North Riverside Dental, P.a.

  • Dental Clinic/Center
  • McAllen, TX
National Provider Identifier
1518152412
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NORTH RIVERSIDE DENTAL, P.A.
Practice address
5717 N 10TH St
Suite #E
McAllen, TX 78504-2611
Phone
(956) 618-2881
Fax
(956) 618-3118
NPI assigned
Sep 13, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Jose Luis Villarreal, DDSNPI 1669516928
Title
President
Phone
(956) 618-2881

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5717 N 10TH St
Suite #E
McAllen, TX 78504-2611

Mailing address

5717 N 10TH St
Suite #E
McAllen, TX 78504-2611
Phone (956) 618-2881

National Provider Directory

National Provider Directory

Locations

5717 N 10th St
Ste E
McAllen, TX 78504
Phone (956) 618-2881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1518152412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 N 10TH ST",
            "address_2": "SUITE #E",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042611",
            "telephone_number": "956-618-2881",
            "fax_number": "956-618-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 N 10TH ST",
            "address_2": "SUITE #E",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042611",
            "telephone_number": "956-618-2881",
            "fax_number": "956-618-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIVERSIDE DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-618-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.