Organization Active NPI

Palomita Dental LLC

  • General Practice Dentistry
  • Laredo, TX
National Provider Identifier
1669159869
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PALOMITA DENTAL LLC
Practice address
3210 Jaime Zapata Hwy
Laredo, TX 78043
Phone
(956) 727-8200
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Dr. Abrefi-Kete Asare Asare, DDS
Title
Dentist
Phone
(817) 903-7044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3210 Jaime Zapata Hwy
Laredo, TX 78043

Mailing address

2702 Anejo Dr
Laredo, TX 78045-6480
Phone (817) 903-7044

Other names 1

  • PALOMITA DENTAL LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3210 Jaime Zapata Memorial Hwy
Laredo, TX 78043
Phone (956) 727-8200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1669159869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 ANEJO DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456480",
            "telephone_number": "817-903-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 JAIME ZAPATA HWY",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78043",
            "telephone_number": "956-727-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMITA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "ASARE",
        "authorized_official_first_name": "ABREFI-KETE ASARE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-903-7044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALOMITA DENTAL LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PALOMITA DENTAL LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.