Active NPI
Jaime A Vergara, DDS
- Periodontics
- Houston, TX
National Provider Identifier
1851313811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 17309
- Practice address
- 3730 Kirby Dr Ste 601
Houston, TX 77098-3933 - Phone
- (713) 521-1444
- Fax
- (713) 521-7347
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 17309 | TX | Primary |
Addresses
Primary practice location
3730 Kirby Dr Ste 601
Houston, TX 77098-3933
Mailing address
3730 Kirby Dr Ste 601
Houston, TX 77098-3933
Phone (713) 521-1444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17309 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851313811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 KIRBY DR STE 601",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983933",
"telephone_number": "713-521-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 KIRBY DR STE 601",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983933",
"telephone_number": "713-521-1444",
"fax_number": "713-521-7347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGARA",
"first_name": "JAIME",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "17309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.