Professional Dental Group, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROFESSIONAL DENTAL GROUP, P.A.

Practice address

1115 Professional Drive
Brownsville, TX 78520

Phone

(956) 545-0668

Fax

(956) 545-0669

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Iris Barrera, DDSNPI 1265531289

Title

Dentist/Owner

Phone

(956) 545-0668

Specialties & licenses 1

Addresses

Tax ID family

Professional Dental Group PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Dental Group P.a.

  • Dentist
  • Pharr, TX
  • NPI 1508259706
  NPD tax ID

Practitioners 1

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

• Iris Barrera, DDS

  • General Practice Dentistry
  • Pharr, TX
  • NPI 1265531289
  NPD (past) Authorized official

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1609242858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 PROFESSIONAL DRIVE",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78520",
            "telephone_number": "956-545-0668",
            "fax_number": "956-545-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 PROFESSIONAL DRIVE",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78520",
            "telephone_number": "956-545-0668",
            "fax_number": "956-545-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "956-545-0668",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Principal Care of Texas LLC (Principal Care of Texas)
• PRN Home Health, Inc. (Cima Health Latino)
• Procare Hospice and Palliative Health Services LLC
• Professional Anesthesia Service, PLLC
• Professional Dental Group P.a.
• Professional Mind Wellness Center, P.a.
• Progressive Therapy LLC
• Progressive Therapy, LLC
• Angela Propst
• Prosperity Living

• General Practice Dentistry in Brownsville, TX
• Providers in Brownsville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.