Active NPI
Jose Fernando Ochoa-Grijalva
- Pediatric Dentistry
- Mount Vernon, WA
National Provider Identifier
1750435988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE60119961
- Practice address
- 1400 N Laventure Rd
Mount Vernon, WA 98273-2766 - Phone
- (360) 542-8901
- Fax
- (360) 542-8790
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0024331 | TX | |
| Pediatric Dentistry | 1223P0221X | DE60119961 | WA | Primary |
Addresses
Primary practice location
1400 N Laventure Rd
Mount Vernon, WA 98273-2766
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6603
Other practice location 1
3801 S Cooper St
Suite 109
Arlington, TX 76015-4132
Phone (817) 467-9089
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024331 | TX | MD | Pediatric Dentist |
| DE60119961 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ikids Pediatric Dentistry Arlington | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- jochoagrijalva708568@direct.multicare.org
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.
-
- Pediatric Dentistry
- Arlington, TX
- NPI 1700168192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1750435988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "253-681-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N LAVENTURE RD",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732766",
"telephone_number": "360-542-8901",
"fax_number": "360-542-8790"
}
],
"practiceLocations": [
{
"address_1": "3801 S Cooper St",
"address_2": "Suite 109",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760154132",
"country_code": "US",
"telephone_number": "817-467-9089",
"fax_number": "817-472-9008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OCHOA-GRIJALVA",
"first_name": "JOSE",
"middle_name": "FERNANDO",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "0024331",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE60119961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.