Jesus Enrique Aguilar, DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14790718 Issued in AZ

Practice address

3333 E Edna Lopez CT
San Luis, AZ 85336-7851

Phone

(928) 509-1279

NPI assigned

May 27, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1861323974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853490990",
            "telephone_number": "928-509-1279",
            "fax_number": "928-361-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E EDNA LOPEZ CT",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853367851",
            "telephone_number": "928-509-1279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "AV CARLOS G CALLES 505",
            "address_purpose": "LOCATION",
            "city": "SAN LUIS RIO COLORADO",
            "state": "SONORA",
            "postal_code": "83448",
            "country_code": "MX",
            "country_name": "Mexico",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "JESUS",
        "middle_name": "ENRIQUE",
        "credential": "DENTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "14790718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 5 Minute Walk-in Clinic LLC
• Cynthia Acker
• Adult and Pediatric Rehabilitation
• Amanda Aguirre, R.D.
• Maria Del Carmen Aguirre, FNP-BC
• Helio Essau Angulo Valle, RN, APRN-RNP
• Isabel M Arias, RDH
• Ericka Gisell Arreola

• All providers in San Luis, AZ
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.