Organization Active NPI

Tooth Dental Center PA

  • Dentist
  • McAllen, TX
National Provider Identifier
1720681471
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TOOTH DENTAL CENTER PA
Practice address
3609 N Ware Rd
McAllen, TX 78501-3304
Phone
(956) 627-2385
Fax
(956) 627-2473
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Elma Moya-Fonseca
Title
Co-Supervisor
Phone
(956) 627-2385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3609 N Ware Rd
McAllen, TX 78501-3304

Mailing address

3609 N Ware Rd
McAllen, TX 78501-3304
Phone (956) 627-2385

Other identifiers 1

IdentifierTypeStateIssuer
1720681471OtherTXNPI

National Provider Directory

National Provider Directory

Locations

3609 N Ware Rd
McAllen, TX 78501
Phone (956) 627-2385

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1720681471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 N WARE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013304",
            "telephone_number": "956-627-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 N WARE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013304",
            "telephone_number": "956-627-2385",
            "fax_number": "956-627-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "MOYA-FONSECA",
        "authorized_official_first_name": "ELMA",
        "authorized_official_title_or_position": "CO-SUPERVISOR",
        "authorized_official_telephone_number": "956-627-2385"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720681471",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.