South McAllen Dental PA

Primary specialty

DentistTaxonomy code 122300000X

License

18068 Issued in TX

Legal business name

SOUTH MCALLEN DENTAL PA

Practice address

1800 S Main St
Suite 1000
McAllen, TX 78503-5441

Phone

(956) 682-3991

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose Villarreal Villarreal, DDS

Title

President

Phone

(956) 682-3991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1609062546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S MAIN ST",
            "address_2": "SUITE 1000",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785035441",
            "telephone_number": "956-682-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S MAIN ST",
            "address_2": "SUITE 1000",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785035441",
            "telephone_number": "956-682-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MCALLEN DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "VILLARREAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-682-3991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "18068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in McAllen, TX
• Providers in McAllen, TX by specialty
• Dentist in Texas

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