Organization Active NPI

Trinity Laredo Dental PLLC

  • Dentist
  • Laredo, TX
National Provider Identifier
1801497532
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TRINITY LAREDO DENTAL PLLC
Practice address
4311 Clark Blvd Ste O
Laredo, TX 78043-4167
Phone
(956) 539-2979
Fax
(832) 532-1904
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Mr. Ruben Lopez
Title
Director of Operations
Phone
(832) 648-7632

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

4311 Clark Blvd Ste O
Laredo, TX 78043-4167

Mailing address

507 N Sam Houston Pkwy E Ste 555
Houston, TX 77060-4021
Phone (832) 648-7632

Other names 1

  • Trinity Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laredo@trinitydentalcenters.com Direct

National Provider Directory

National Provider Directory

Locations

507 N Sam Houston Pkwy E
Ste 555
Houston, TX 77060

4311 Clark Blvd
Ste O
Laredo, TX 78043
Phone (956) 539-2979

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1801497532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N SAM HOUSTON PKWY E STE 555",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604021",
            "telephone_number": "832-648-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 CLARK BLVD STE O",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434167",
            "telephone_number": "956-539-2979",
            "fax_number": "832-532-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY LAREDO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "832-648-7632",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laredo@trinitydentalcenters.com",
            "affiliation": "N",
            "endpointDescription": "laredo@trinitydentalcenters.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4311 Clark Blvd Ste O",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780434167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.