Individual provider Active NPI

Ireri Anaid Zuniga Tijerina, D.D.S.

  • Pediatric Dentistry
  • Lubbock, TX
National Provider Identifier
1689336174
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
36938 Issued in TX
Practice address
7815 Quaker Ave
Lubbock, TX 79424-3363
Phone
(806) 796-2408
Fax
(806) 686-6246
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 36938 TX Primary

Addresses

Primary practice location

7815 Quaker Ave
Lubbock, TX 79424-3363

Mailing address

7815 Quaker Ave
Lubbock, TX 79424-3363
Phone (806) 796-2408

Other practice location 1

381 S Loop 336 W Ste 1200
Conroe, TX 77304-3351
Phone (936) 703-2131

Other practice location 2

809 N Frankford Ave
Lubbock, TX 79416-1568
Phone (806) 796-2408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36938TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Pediatric Dental Holdings, PLLC Pediatric Dentistry PastSince May 8, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1689336174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243363",
            "telephone_number": "806-796-2408",
            "fax_number": "806-686-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243363",
            "telephone_number": "806-796-2408",
            "fax_number": "806-686-6246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "381 S Loop 336 W Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773043351",
            "country_code": "US",
            "telephone_number": "936-703-2131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 N Frankford Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794161568",
            "country_code": "US",
            "telephone_number": "806-796-2408",
            "fax_number": "806-686-6246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUNIGA TIJERINA",
        "first_name": "IRERI",
        "middle_name": "ANAID",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "36938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.