NPIMap

Organization Active NPI

Brownsville Dental Associates

  • Dentist
  • Brownsville, TX
National Provider Identifier
1649551524
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18069 Issued in TX
Legal business name
BROWNSVILLE DENTAL ASSOCIATES
Practice address
3675 Boca Chica Blvd Suite: a
Brownsville, TX 78521
Phone
(956) 542-5545
NPI assigned
Sep 6, 2011
Last updated
Sep 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Mrs. Vicky Cantu
Title
Office Manager
Phone
(956) 542-5545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18069 TX Primary

Addresses

Primary practice location

3675 Boca Chica Blvd Suite: a
Brownsville, TX 78521

Mailing address

3675 Boca Chica Blvd Ste a
Brownsville, TX 78521-4484
Phone (956) 542-5545

Other names 1

  • brownsville dental associates Former legal business name

National Provider Directory

National Provider Directory

Locations

3675 Boca Chica Blvd
Ste A
Brownsville, TX 78521
Phone (956) 542-5545

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": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1649551524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 BOCA CHICA BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214484",
            "telephone_number": "956-542-5545",
            "fax_number": "956-542-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 BOCA CHICA BLVD SUITE: A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-542-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-542-5545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brownsville dental associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 6, 2011; 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.