Organization Active NPI

Valley Dental Medicare

Doing business as Valley Dental

  • Dentist
  • Brownsville, TX
National Provider Identifier
1639987068
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VALLEY DENTAL MEDICARE
Doing business as
Valley Dental
Practice address
2334 Boca Chica Blvd Ste 200
Brownsville, TX 78521-2697
Phone
(509) 987-2267
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Dr. Kevin P Osborne, DMDNPI 1407085020
Title
Owner/Dentist
Phone
(509) 987-2267

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2334 Boca Chica Blvd Ste 200
Brownsville, TX 78521-2697

Mailing address

2334 Boca Chica Blvd Ste 200
Brownsville, TX 78521-2697
Phone (509) 987-2267

Other names 1

  • Valley Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2334 Boca Chica Blvd
Ste 200
Brownsville, TX 78521
Phone (956) 546-2973

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1639987068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 BOCA CHICA BLVD STE 200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212697",
            "telephone_number": "509-987-2267",
            "fax_number": "956-546-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 BOCA CHICA BLVD STE 200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212697",
            "telephone_number": "509-987-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL MEDICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "509-987-2267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 18, 2024; 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.