Organization Active NPI

Lindale Medical Dental Group

  • Diagnostic Ultrasound Physician
  • Brownsville, TX
National Provider Identifier
1700942653
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
LINDALE MEDICAL DENTAL GROUP
Practice address
500 Paredes Line Rd
#3
Brownsville, TX 78521-2583
Phone
(956) 541-2162
Fax
(956) 541-8043
NPI assigned
Dec 28, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Ernesto S Davila, DDS
Title
Managing Partner
Phone
(956) 541-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X NU Primary

Addresses

Primary practice location

500 Paredes Line Rd
#3
Brownsville, TX 78521-2583

Mailing address

500 Paredes Line Rd
#3
Brownsville, TX 78521-2583
Phone (956) 541-2162

Other names 1

  • Jesus Caquias Ernesto Davila Former legal business name

National Provider Directory

National Provider Directory

Locations

500 Paredes Line Rd
Ste A
Brownsville, TX 78521
Phone (956) 489-5450

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1700942653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PAREDES LINE RD",
            "address_2": "#3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212583",
            "telephone_number": "956-541-2162",
            "fax_number": "956-541-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PAREDES LINE RD",
            "address_2": "#3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212583",
            "telephone_number": "956-541-2162",
            "fax_number": "956-541-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDALE MEDICAL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "956-541-2162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jesus Caquias Ernesto Davila",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.