Aaron Jeffrey Agirre, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

25766 Issued in TX

Practice address

101 Bodin Cir
Travis AFB, CA 94535-1802

Phone

(707) 423-7008

NPI assigned

Aug 17, 2011

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1770863136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351802",
            "telephone_number": "707-423-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351802",
            "telephone_number": "707-423-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 Pepperrell St Bldg 3352",
            "address_2": "ATTN: Mr. Douglas Scalf",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365313",
            "country_code": "US",
            "telephone_number": "210-292-6258",
            "fax_number": "210-292-2618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGIRRE",
        "first_name": "AARON",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25766",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "25766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Abrams
• Javier A Abreu, DMD
• Nicholas Adams, MD
• Olasunkanmi Samuel Adesemoye
• Parag P Agarwal, RPH
• Theresa Agosto-Smart
• Min Ji Ahn
• Hiroko Akuzawa, M.D.
• Riyadh Zihraw Al-Jammaly, MD
• Omotayo O Alamutu, DNP, FNP, PMHNP

• Periodontics in Travis AFB, CA
• Providers in Travis AFB, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.