NPIMap

Organization Active NPI

Las Palmas Children's Dentistry

  • Pediatric Dentistry
  • Pharr, TX
National Provider Identifier
1750567434
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
20393 Issued in TX
Legal business name
LAS PALMAS CHILDREN'S DENTISTRY
Practice address
7013 South Cage Blvd.
Suite a
Pharr, TX 78577
Phone
(956) 787-3333
Fax
(956) 787-7333
NPI assigned
Jan 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Dr. Maria Dejesus Rodriguez, DDS
Title
President/Pediatric Dentist
Phone
(956) 787-3333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 14305 TX
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 20393 TX Primary

Addresses

Primary practice location

7013 South Cage Blvd.
Suite a
Pharr, TX 78577

Mailing address

7013 South Cage Blvd
Suite a
Pharr, TX 78577
Phone (956) 787-3333

Other identifiers 1

IdentifierTypeStateIssuer
190342901MedicaidTX

National Provider Directory

National Provider Directory

Locations

7013 S Cage Blvd
Ste A
Pharr, TX 78577
Phone (956) 787-3333

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": "1200182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1750567434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 SOUTH CAGE BLVD",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "78577",
            "telephone_number": "956-787-3333",
            "fax_number": "956-787-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 SOUTH CAGE BLVD.",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "78577",
            "telephone_number": "956-787-3333",
            "fax_number": "956-787-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS PALMAS CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-13",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA DEJESUS",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "956-787-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14305",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190342901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.