Active NPI
Luis A Cerda
- Dental Hygienist
- Brownsville, TX
National Provider Identifier
1629418959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 14366
- Practice address
- 191 E Price Rd
Brownsville, TX 78521-3527 - Phone
- (956) 548-7400
- Fax
- (956) 621-3689
- NPI assigned
- Jul 1, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 14366 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14366 | Other | TX | DENTAL HYGIENIST LICENSE |
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 |
|---|---|---|---|
| 14366 | TX | MD | Dental Hygienist |
Interoperability endpoints
- luis.cerda.p1@direct.bchc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1629418959",
"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": "CERDA",
"first_name": "LUIS",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-01",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "14366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HYGIENIST LICENSE",
"identifier": "14366",
"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 Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.