Active NPI
Mexpro Dent
- Supports Brokerage Agency
- Calexico, CA
National Provider Identifier
1780082552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- Legal business name
- MEXPRO DENT
- Practice address
- 848 E 5TH St
Calexico, CA 92231-2934 - Phone
- (760) 592-9314
- NPI assigned
- Dec 10, 2014
- 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
- Miss Veronica Janneth Cardenas
- Title
- Ceo
- Phone
- (951) 479-1714
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Supports Brokerage Agency | 251X00000X | Primary |
Addresses
Primary practice location
848 E 5TH St
Calexico, CA 92231-2934
Mailing address
414 E 2ND St
Calexico, CA 92231-2847
National Provider Directory
National Provider DirectoryLocations
414 E 2nd St
Calexico, CA 92231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432684800000",
"number": "1780082552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 E 2ND ST",
"city": "CALEXICO",
"state": "CA",
"postal_code": "922312847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 E 5TH ST",
"city": "CALEXICO",
"state": "CA",
"postal_code": "922312934",
"telephone_number": "760-592-9314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEXPRO DENT",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-10",
"last_updated": "2015-05-27",
"status": "A",
"authorized_official_last_name": "CARDENAS",
"authorized_official_first_name": "VERONICA",
"authorized_official_middle_name": "JANNETH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "951-479-1714",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calexico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.