NPIMap

Organization Active NPI

Juan C Echevern DDS Professional Corp

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1790805141
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16902 Issued in TX
Legal business name
JUAN C ECHEVERN DDS PROFESSIONAL CORP
Practice address
7844 Long Point Rd
Houston, TX 77055-3621
Phone
(713) 956-8767
Fax
(713) 956-1952
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Juan C Echeverri, DDSNPI 1255336186
Title
President
Phone
(713) 956-8767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 16902 TX Primary

Addresses

Primary practice location

7844 Long Point Rd
Houston, TX 77055-3621

Mailing address

7844 Long Point Rd
Houston, TX 77055-3621
Phone (713) 956-8767

Other identifiers 1

IdentifierTypeStateIssuer
126742905MedicaidTX

Other names 1

  • Echeverri Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

7844 Long Point Rd
Houston, TX 77055
Phone (713) 956-8767

Practitioners & affiliated clinicians

Practitioners 7

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1790805141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7844 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553621",
            "telephone_number": "713-956-8767",
            "fax_number": "713-956-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7844 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553621",
            "telephone_number": "713-956-8767",
            "fax_number": "713-956-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN C ECHEVERN DDS PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ECHEVERRI",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-956-8767",
        "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": "16902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126742905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Echeverri Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.