Individual provider Active NPI

Janelle Lynnae Czer, D.D.S.

  • Dentist
  • Del Rio, TX
National Provider Identifier
1598155376
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30992 Issued in TX
Practice address
2223 Veterans Blvd
Del Rio, TX 78840-3120
Phone
(830) 775-2431
Fax
(830) 775-7418
NPI assigned
Jan 30, 2015
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.029874 IL
Dentist 122300000X 30992 TX Primary

Addresses

Primary practice location

2223 Veterans Blvd
Del Rio, TX 78840-3120

Mailing address

2223 Veterans Blvd
Del Rio, TX 78840-3120
Phone (830) 775-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 29, 2015 through Dec 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.029874ILMDDentist
30992TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Amistad Dentistry Dentist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1598155376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 VETERANS BLVD",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403120",
            "telephone_number": "830-775-2431",
            "fax_number": "830-775-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 VETERANS BLVD",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403120",
            "telephone_number": "830-775-2431",
            "fax_number": "830-775-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZER",
        "first_name": "JANELLE",
        "middle_name": "LYNNAE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029874",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.