Individual provider Active NPI

Jose A Ochoa, DDS

  • General Practice Dentistry
  • McAllen, TX
National Provider Identifier
1578880985
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25382 Issued in TX
Practice address
3601 Buddy Owens Ave Ste 200
McAllen, TX 78504-6447
Phone
(956) 631-4200
Fax
(956) 631-4201
NPI assigned
Apr 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59240 CA
General Practice Dentistry 1223G0001X 25382 TX Primary

Addresses

Primary practice location

3601 Buddy Owens Ave Ste 200
McAllen, TX 78504-6447

Mailing address

2413 E Expressway 83
Ste 50
Mission, TX 78572-1019
Phone (956) 583-5430

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160601001141 TX Order and Referring Only - DentistPractitioner - Dentist 2466742622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59240CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Dentaland Past Accepting new patients
MC Dental Care of Mission, PLLC General Practice PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1578880985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 E EXPRESSWAY 83",
            "address_2": "STE 50",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785721019",
            "telephone_number": "956-583-5430",
            "fax_number": "956-583-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 BUDDY OWENS AVE STE 200",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046447",
            "telephone_number": "956-631-4200",
            "fax_number": "956-631-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHOA",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-24",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59240",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.