Organization Active NPI

Judith Jones DDS PLLC

  • Pediatric Dentistry
  • McAllen, TX
National Provider Identifier
1770869018
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
15380 Issued in TX
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

Updated by the provider on Nov 1, 2011

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1164434106MedicaidTX
1588694301MedicaidTX

Other names 1

  • Children's Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.