Individual provider Active NPI

Oswaldo Heguigorri, D.M.D

  • General Practice Dentistry
  • Brownsville, TX
National Provider Identifier
1609977578
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16425 Issued in TX
Practice address
191 E Price Rd
Brownsville, TX 78521-3527
Phone
(956) 548-7400
Fax
(956) 621-3689
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16425 TX
General Practice Dentistry 1223G0001X 16425 TX Primary

Addresses

Primary practice location

191 E Price Rd
Brownsville, TX 78521-3527

Mailing address

191 E Price Rd
Brownsville, TX 78521-3527
Phone (956) 548-7400

Other identifiers 1

IdentifierTypeStateIssuer
008974002MedicaidTX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
16425TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1609977578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-548-7400",
            "fax_number": "956-621-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-548-7400",
            "fax_number": "956-621-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGUIGORRI",
        "first_name": "OSWALDO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16425",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008974002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.