Sunset Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14908 Issued in TX

Legal business name

SUNSET DENTAL PA

Practice address

401 Hooks Ave
Ste E
Donna, TX 78537-3036

Phone

(956) 464-2223

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tomas Adolfo Canales, DDSNPI 1639296148

Title

Owner

Phone

(956) 464-2223

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tomas Adolfo Canales, DDS

  • General Practice Dentistry
  • Mission, TX
  • NPI 1639296148
  NPD (past) Authorized official

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1568625705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HIGHLAND PARK AVE",
            "address_2": "STE G",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724452",
            "telephone_number": "956-585-1711",
            "fax_number": "956-584-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOOKS AVE",
            "address_2": "STE E",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785373036",
            "telephone_number": "956-464-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "CANALES",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_middle_name": "ADOLFO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-464-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120948801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Donna, TX
• Providers in Donna, 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 Jul 8, 2008; 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.