Rio Grande City Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

RIO GRANDE CITY PEDIATRIC DENTISTRY PLLC

Practice address

5342 E US Highway 83 BLDG C
Suite # 3
Rio Grande City, TX 78582-9431

Phone

(956) 317-1365

Fax

(956) 317-1367

NPI assigned

Nov 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vladislav V Loshkarev, DDS

Title

Owner

Phone

(956) 686-5511

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Fanny Kamwa Agnero, DMD,MPH

  • Pediatric Dentistry
  • Rio Grande City, TX
  • NPI 1063709830
  NPD (past)

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1679817183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 E US HIGHWAY 83 BLDG C",
            "address_2": "SUITE # 3",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829431",
            "telephone_number": "956-317-1365",
            "fax_number": "956-317-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 E US HIGHWAY 83 BLDG C",
            "address_2": "SUITE # 3",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829431",
            "telephone_number": "956-317-1365",
            "fax_number": "956-317-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE CITY PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "LOSHKAREV",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-686-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Raymond Reyes, MD
• Reanna Renee Reyna, PA
• Rio DME LLC
• Rio Grande City Cisd
• Rio Grande City Dental PLLC (Rodeo Dental and Orthodontics)
• Rio Grande City Professional Counseling Services
• Rio Grande Pediatric Clinic
• Rio Grande Pediatric Clinic (Juan Aguilera and Associates)
• Rio Nutrition Consulting, LLC
• Rio Rehab for Children, PLLC

• Pediatric Dentistry in Rio Grande City, TX
• Providers in Rio Grande City, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.