Organization Active NPI

Julio C de la Fuente DDS PA

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1598846347
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19788 Issued in TX
Legal business name
JULIO C DE LA FUENTE DDS PA
Practice address
5405 S McColl Rd
Edinburg, TX 78539-9183
Phone
(956) 668-1780
Fax
(956) 668-1781
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Julio Cesar De la Fuente Jr., DDSNPI 1023272143
Title
Owner/President
Phone
(956) 668-1780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19788 TX Primary

Addresses

Primary practice location

5405 S McColl Rd
Edinburg, TX 78539-9183

Mailing address

5405 S McColl Rd
Edinburg, TX 78539-9183
Phone (956) 668-1780

National Provider Directory

National Provider Directory

Locations

5405 S McColl Rd
Edinburg, TX 78539
Phone (956) 668-1780

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1598846347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399183",
            "telephone_number": "956-668-1780",
            "fax_number": "956-668-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399183",
            "telephone_number": "956-668-1780",
            "fax_number": "956-668-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO C DE LA FUENTE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "DE LA FUENTE",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "956-668-1780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.