Active NPI
Judith Jones DDS PLLC
- Pediatric Dentistry
- McAllen, TX
National Provider Identifier
1770869018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 15380
- Legal business name
- JUDITH JONES DDS PLLC
- Practice address
- 1801 S 5TH St
Suite 112
McAllen, TX 78503-2927 - Phone
- (956) 682-1284
- Fax
- (956) 687-8373
- NPI assigned
- Nov 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elma Moya-Fonseca, RDA
- Title
- Office Manager
- Phone
- (956) 682-1284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 15380 | TX | Primary |
Addresses
Primary practice location
1801 S 5TH St
Suite 112
McAllen, TX 78503-2927
Mailing address
1801 S 5TH St
Suite 112
McAllen, TX 78503-2927
Phone (956) 682-1284
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164434106 | Medicaid | TX | |
| 1588694301 | Medicaid | TX |
Other names 1
- Children's Dental Center
National Provider Directory
National Provider DirectoryLocations
1801 S 5th St
Ste 112
McAllen, TX 78503
Phone (956) 682-1284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320105600000",
"number": "1770869018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 S 5TH ST",
"address_2": "SUITE 112",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785032927",
"telephone_number": "956-682-1284",
"fax_number": "956-687-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 S 5TH ST",
"address_2": "SUITE 112",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785032927",
"telephone_number": "956-682-1284",
"fax_number": "956-687-8373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDITH JONES DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A",
"authorized_official_last_name": "MOYA-FONSECA",
"authorized_official_first_name": "ELMA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "956-682-1284",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RDA"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "15380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164434106",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588694301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Dental Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 1, 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.