Individual provider Active NPI

Roberto Ramirez, D.D.S.

  • General Practice Dentistry
  • Laredo, TX
National Provider Identifier
1841489051
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17659 Issued in TX
Practice address
1002 Corpus Christi St
Ste. 5
Laredo, TX 78040-5265
Phone
(956) 726-5500
Fax
(956) 726-5300
NPI assigned
Oct 24, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17659 TX Primary

Addresses

Primary practice location

1002 Corpus Christi St
Ste. 5
Laredo, TX 78040-5265

Mailing address

1002 Corpus Christi St
Ste. 5
Laredo, TX 78040-5265
Phone (956) 726-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200506001065 TX Practitioner - Dentist 8426489592 Practice locations: Freer, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17659TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1841489051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 CORPUS CHRISTI ST",
            "address_2": "STE. 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405265",
            "telephone_number": "956-726-5500",
            "fax_number": "956-726-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 CORPUS CHRISTI ST",
            "address_2": "STE. 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405265",
            "telephone_number": "956-726-5500",
            "fax_number": "956-726-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.