Active NPI
Jessica Viridiana Covarrubias, DDS
- Dentist
- Midland, TX
National Provider Identifier
1598381683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36341
- Practice address
- 2817 W Loop 250 N Ste B
Midland, TX 79705-3205 - Phone
- (432) 694-4800
- NPI assigned
- Jun 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36341 | TX | Primary |
Addresses
Primary practice location
2817 W Loop 250 N Ste B
Midland, TX 79705-3205
Mailing address
17341 Orange Way
Fontana, CA 92335-3932
Phone (909) 227-9310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36341 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Straight Orthodontics - Midland, PLLC | Current | Accepting new patients | |
| Midland Dentistry 4 Kids, PLLC | Past | Accepting new patients |
Locations
2817 W Loop 250 N
Ste B
Midland, TX 79705
Phone (432) 694-4800
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.
-
dba Smile Straight Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Midland, TX
- NPI 1407158066
-
dba Midland Dentistry 4 Kids
- General Practice Dentistry
- Midland, TX
- NPI 1952617482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1598381683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17341 ORANGE WAY",
"city": "FONTANA",
"state": "CA",
"postal_code": "923353932",
"telephone_number": "909-227-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 W LOOP 250 N STE B",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797053205",
"telephone_number": "432-694-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVARRUBIAS",
"first_name": "JESSICA",
"middle_name": "VIRIDIANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.