NPIMap

Organization Active NPI

Rodolfo Herrera Jr DDS PA

  • General Practice Dentistry
  • Del Rio, TX
National Provider Identifier
1861940512
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18586 Issued in TX
Legal business name
RODOLFO HERRERA JR DDS PA
Practice address
17 Page Ave
Del Rio, TX 78840-4146
Phone
(830) 775-4122
NPI assigned
Sep 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Dr. Rodolfo Herrera Jr., DDSNPI 1033289418
Title
President
Phone
(830) 775-4122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18586 TX Primary

Addresses

Primary practice location

17 Page Ave
Del Rio, TX 78840-4146

Mailing address

17 Page Ave
Del Rio, TX 78840-4146

National Provider Directory

National Provider Directory

Locations

17 Page Ave
Del Rio, TX 78840
Phone (830) 775-4122

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1861940512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PAGE AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PAGE AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404146",
            "telephone_number": "830-775-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO HERRERA JR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-775-4122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.