Amanda Kaylyn Juarez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25163 Issued in TX

Practice address

1300 Post Oak Blvd Ste 1620
Houston, TX 77056-3013

Phone

(713) 622-6112

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1558444372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 POST OAK BLVD STE 1620",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563013",
            "telephone_number": "713-622-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 POST OAK BLVD STE 1620",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563013",
            "telephone_number": "713-622-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "AMANDA",
        "middle_name": "KAYLYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan P. Garcia, M.D., P.a.
• Juan Palacios LLC
• Juan Stern Mdpa
• Juanita P Edwards MD & Assoc PA
• Albert Juarez Jr., PA-C
• Crystal Marie Juarez, PA-C
• Daniel Juarez, LMSW
• Esperanza Juarez
• Julio Alberto Juarez, RN
• Leslie Melissa Juarez, PA

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.