Professional Dental Group P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

22574 Issued in TX

Legal business name

PROFESSIONAL DENTAL GROUP P.A.

Practice address

1115 Professional Dr
Brownsville, TX 78520-6462

Phone

(956) 782-6767

NPI assigned

Oct 10, 2012

Organization subpart

No

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

Authorized official

Name

Iris Barrera, DDSNPI 1265531289

Title

President

Phone

(956) 782-6767

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iris Barrera, DDS

  • General Practice Dentistry
  • Pharr, TX
  • NPI 1265531289
  NPD Authorized official

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1851643134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 PROFESSIONAL DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206462",
            "telephone_number": "956-782-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 PROFESSIONAL DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206462",
            "telephone_number": "956-782-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL GROUP P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-782-6767",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1779188-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Jacqueline Prince
• Principal Care of Texas LLC (Principal Care of Texas)
• PRN Home Health, Inc. (Cima Health Latino)
• Procare Hospice and Palliative Health Services LLC
• Professional Anesthesia Service, PLLC
• Professional Dental Group, P.a.
• Professional Mind Wellness Center, P.a.
• Progressive Therapy LLC
• Progressive Therapy, LLC
• Angela Propst

• Dentist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.