NPIMap

Organization Active NPI

Bernardino Octavio Elizondo, DDS, PC

  • Dentist
  • Raymondville, TX
National Provider Identifier
1831535871
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19338 Issued in TX
Legal business name
BERNARDINO OCTAVIO ELIZONDO, DDS, PC
Practice address
957 E Hidalgo Ave
Suite B2
Raymondville, TX 78580-4149
Phone
(956) 699-3999
Fax
(956) 699-3201
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Dr. Bernardino Octavio Elizondo, DDS
Title
Owner/President
Phone
(956) 399-9929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19338 TX Primary

Addresses

Primary practice location

957 E Hidalgo Ave
Suite B2
Raymondville, TX 78580-4149

Mailing address

957 E Hidalgo Ave
Suite B2
Raymondville, TX 78580-4149
Phone (956) 699-3999

National Provider Directory

National Provider Directory
Tax ID family
Bernardino Octavio Elizondo DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1831535871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 E HIDALGO AVE",
            "address_2": "SUITE B2",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804149",
            "telephone_number": "956-699-3999",
            "fax_number": "956-699-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 E HIDALGO AVE",
            "address_2": "SUITE B2",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804149",
            "telephone_number": "956-699-3999",
            "fax_number": "956-699-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARDINO OCTAVIO ELIZONDO, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "ELIZONDO",
        "authorized_official_first_name": "BERNARDINO",
        "authorized_official_middle_name": "OCTAVIO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "956-399-9929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.