Guerra Dentistry, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

21734 Issued in TX

Legal business name

GUERRA DENTISTRY, P.A.

Practice address

207 North Bryan Road
Mission, TX 78572

Phone

(956) 585-1250

Fax

(956) 585-1257

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jesus Othon Guerra III, D.D.S.NPI 1790792463

Title

Owner

Phone

(956) 585-1250

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.

• Jesus Othon Guerra III, D.D.S.

  • General Practice Dentistry
  • Mission, TX
  • NPI 1790792463
  NPD (past) Authorized official

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1902815020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 N. 1ST LANE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-878-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 NORTH BRYAN ROAD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-585-1250",
            "fax_number": "956-585-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUERRA DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "OTHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-585-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "21734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171723301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great American Insulation
• Maricela M Grellmann, LMT
• Gretchen M Velasco, Mdpa
• GTZ Ventures, LLC
• Guadalupe Family Clinic
• Guerra Pharmacy Inc
• Iliana Guerra, RD.CSP.LD.
• Jesus Othon Guerra III, D.D.S.
• Jose Arturo Guerra Jr., M.S. CCC-SLP
• Maria Guerrero

• Dental Clinic/Center in Mission, TX
• Providers in Mission, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.