Eutiquio M. Elizondo Jr DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EUTIQUIO M. ELIZONDO JR DDS PC

Practice address

100 E. Ebony LN.
Edinburg, TX 78539

Phone

(956) 380-3636

NPI assigned

Apr 26, 2011

Last updated

Apr 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nanci Davila

Title

Front Office

Phone

(956) 380-3636

Specialties & licenses 1

Addresses

Locations

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.

• Eutiquio M Elizondo Jr., DDS

  • Dentist
  • Edinburg, TX
  • NPI 1396825949
  NPD (past)

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1730470618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E EBONY LN",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395648",
            "telephone_number": "956-380-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E. EBONY LN.",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-380-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUTIQUIO M. ELIZONDO JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "NANCI",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "956-380-3636",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Edinburg, TX
• Providers in Edinburg, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.