Active NPI
Charleston Espanol, DDS
- Dentist
- Baytown, TX
National Provider Identifier
1922592278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34074
- Practice address
- 6360 Garth Rd #105
Baytown, TX 77521 - Phone
- (954) 790-2037
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 34074 | TX | Primary |
Addresses
Primary practice location
6360 Garth Rd #105
Baytown, TX 77521
Mailing address
9407 Sundance Dr
Pearland, TX 77584-2893
Phone (954) 790-2037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34074 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1922592278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9407 SUNDANCE DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775842893",
"telephone_number": "954-790-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 GARTH RD #105",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "77521",
"telephone_number": "954-790-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPANOL",
"first_name": "CHARLESTON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "34074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.