Little Heroes Pediatric Denitstry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22644 Issued in TX

Legal business name

LITTLE HEROES PEDIATRIC DENITSTRY PLLC

Practice address

5220 McPherson Road Suite 1
Laredo, TX 78541

Phone

(956) 581-4403

Fax

(956) 581-2242

NPI assigned

Dec 26, 2012

Last updated

Dec 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Ivan GuzmanNPI 1497945679

Title

Pediatric Dentist

Phone

(956) 537-6764

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Sergio Ivan Guzman, DDS

  • Pediatric Dentistry
  • Mission, TX
  • NPI 1497945679
  NPD (past) Authorized official
• Annely Camacho Ugas

  • Dentist
  • Mission, TX
  • NPI 1871283820
  NPD (past)

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1548506355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ST. CLAIRE BLVD SUITE A3",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-581-4403",
            "fax_number": "956-581-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 MCPHERSON ROAD SUITE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78541",
            "telephone_number": "956-581-4403",
            "fax_number": "956-581-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE HEROES PEDIATRIC DENITSTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "956-537-6764",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "22644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lionheart Guardian Personal Assistance Services
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• Juan Antonio Lira Escobedo, FNP-C
• Jesus Enrique Lira Jr., RD
• Lissa Lope Liveson, OTR
• Carlos Mauricio Llanes, MD
• LMJ Imaging Services Open MRI, Inc
• LNM Behavioral Therapy, LLC
• Roberto N Loar, D.D.S.

• Pediatric Dentistry in Laredo, TX
• Providers in Laredo, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.