NPIMap

Organization Active NPI

Pediatric Dentistry

  • Pediatric Dentistry
  • Laredo, TX
National Provider Identifier
1720472707
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11647 Issued in TX
Legal business name
PEDIATRIC DENTISTRY
Practice address
1318 E Lane St
Laredo, TX 78040-7211
Phone
(956) 724-2712
Fax
(956) 724-2714
NPI assigned
Mar 26, 2015
Last updated
Mar 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Felipe H Esparza, DDS, MPHNPI 1154327344
Title
Pediatric Dentist
Phone
(956) 724-2712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 23479 TX
Pediatric Dentistry 1223P0221X 11647 TX Primary

Addresses

Primary practice location

1318 E Lane St
Laredo, TX 78040-7211

Mailing address

1318 E Lane St
Laredo, TX 78040-7211
Phone (956) 724-2712

Other identifiers 2

IdentifierTypeStateIssuer
1750571139MedicaidTX
1154327344MedicaidTX

National Provider Directory

National Provider Directory

Locations

1318 E Lane St
Laredo, TX 78040
Phone (956) 724-2712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1720472707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 E LANE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780407211",
            "telephone_number": "956-724-2712",
            "fax_number": "956-724-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 E LANE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780407211",
            "telephone_number": "956-724-2712",
            "fax_number": "956-724-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "956-724-2712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23479",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "11647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750571139",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154327344",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.