San Dario Avenue Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAN DARIO AVENUE DENTAL, PLLC

Practice address

4817 San Dario Ave
Laredo, TX 78041-5754

Phone

(940) 220-7833

NPI assigned

Feb 14, 2019

Last updated

Feb 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Everett Evans, DDSNPI 1407930050

Title

Owner/ DDS

Phone

(940) 220-7833

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Everett Chad Evans, D.D.S.

  • Dentist
  • Denton, TX
  • NPI 1407930050
  Authorized official Same address or phone

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1881150894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E MCKINNEY ST STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762097557",
            "telephone_number": "940-220-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 SAN DARIO AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415754",
            "telephone_number": "940-220-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DARIO AVENUE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_title_or_position": "OWNER/ DDS",
        "authorized_official_telephone_number": "940-220-7833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesly Samano
• Samer Tabel P.C.
• Sams Healthcare, Inc.
• San Agustin Hospice, LLC
• San Antonio Extended Medical Care, Inc. (Med Mart)
• San Dario Dental and Orthodontics PLLC
• San Dario Dentistry, PLLC
• San Isidro Medical Center PLLC
• San Jose Home Health
• San Jose Home Health Care, LLC

• General Practice Dentistry in Laredo, TX
• Providers in Laredo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.