Veterans Boulevard Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VETERANS BOULEVARD FAMILY DENTISTRY, PLLC

Practice address

707 W Ih2 Unit 300
San Juan, TX 75238

Phone

(956) 467-5813

NPI assigned

Dec 29, 2020

Organization subpart

No

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

Authorized official

Name

Craig Copeland, DMD

Title

Owner/Dentist

Phone

(940) 220-7833

Specialties & licenses 1

Addresses

Other names 1

• Smile Magic of San Juan Doing business as

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1891382586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N I 35 STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W IH2 UNIT 300",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "75238",
            "telephone_number": "956-467-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS BOULEVARD FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "940-220-7833",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Magic of San Juan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Magic of San Juan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edgar Vela, OTR
• Jeanette Vela
• Oscar Rene Vela, P.A-C
• Velacorp Pharmacists Inc
• Dora Velazquez, FNP
• Edilio Javier Villalobos
• David Villanueva, RPH
• Villarreal Medical Center PA
• Villarreal Medical Center, PA
• Villarreal Medical Center, PA

• General Practice Dentistry in San Juan, TX
• Providers in San Juan, 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 17, 2021; 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.