Individual provider Active NPI

Maria Eugenia Zabaleta

  • Dentist
  • Pharr, TX
National Provider Identifier
1639990088
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6161072 Issued in TX
Practice address
3900 N Jackson Rd
Pharr, TX 78577-7768
Phone
(956) 375-4695
Fax
(956) 375-4695
NPI assigned
Oct 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6161072 TX Primary

Addresses

Primary practice location

3900 N Jackson Rd
Pharr, TX 78577-7768

Mailing address

Cake Arco Iris N 155
Fraccionamiento Nuevo Progreso, TAMAULIPAS 88123
MX

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

LicenseStateTypeSpecialty
6161072TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jireh International Service LLC Dental CurrentSince Oct 20, 2024 Accepting new patients

Locations

3900 N Jackson Rd
Pharr, TX 78577
Phone (956) 375-4695

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1639990088",
    "addresses": [
        {
            "country_code": "MX",
            "country_name": "Mexico",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CAKE ARCO IRIS N 155",
            "city": "FRACCIONAMIENTO NUEVO PROGRESO",
            "state": "TAMAULIPAS",
            "postal_code": "88123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N JACKSON RD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785777768",
            "telephone_number": "956-375-4695",
            "fax_number": "956-375-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABALETA",
        "first_name": "MARIA",
        "middle_name": "EUGENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "6161072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.