Organization Active NPI

McAllen Family Dentistry PLLC

  • Dentist
  • McAllen, TX
National Provider Identifier
1679074983
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22644 Issued in TX
Legal business name
MCALLEN FAMILY DENTISTRY PLLC
Practice address
4229 W Expressway 83
Ste 10
McAllen, TX 78503
Phone
(956) 537-6764
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Sergio Ivan Guzman, D.D.S
Title
Owner/ Pediatric Dentist
Phone
(956) 537-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22644 TX Primary

Addresses

Primary practice location

4229 W Expressway 83
Ste 10
McAllen, TX 78503

Mailing address

PO Box 102
San Juan, TX 78589-0102
Phone (956) 223-4428

National Provider Directory

National Provider Directory

Locations

4229 W Expressway 83
Ste 10
McAllen, TX 78503
Phone (956) 537-6764

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1679074983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785890102",
            "telephone_number": "956-223-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 W EXPRESSWAY 83",
            "address_2": "STE 10",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78503",
            "telephone_number": "956-537-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALLEN FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER/ PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "956-537-6764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.