Organization Active NPI

MC Dental Care of Edinburg, PLLC

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1689177925
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28908 Issued in TX
Legal business name
MC DENTAL CARE OF EDINBURG, PLLC
Practice address
8814 E Hwy 107 Ste B
Edinburg, TX 78542-3760
Phone
(956) 800-2219
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Martiza Chavez, DDS
Title
Dentist Owner
Phone
(956) 583-2588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28908 TX Primary

Addresses

Primary practice location

8814 E Hwy 107 Ste B
Edinburg, TX 78542-3760

Mailing address

2413 E Interstate Highway 2 Ste 50
Mission, TX 78572-1019
Phone (956) 583-5430

Other names 1

  • Jimenez Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8814 E Highway 107
Ste B
Edinburg, TX 78542
Phone (956) 800-2219

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1689177925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 E INTERSTATE HIGHWAY 2 STE 50",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785721019",
            "telephone_number": "956-583-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 E HWY 107 STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785423760",
            "telephone_number": "956-800-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC DENTAL CARE OF EDINBURG, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "MARTIZA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "956-583-2588",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jimenez Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jimenez Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.