Ivan Estrada

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

41253 Issued in TX

Practice address

2300 Wolflin Ave
Amarillo, TX 79109-1832

Phone

(806) 350-5437

NPI assigned

Mar 8, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amarillo Pediatric Dentistry and Orthodontics at Town Square PLLC

  • Pediatric Dentistry
  • Amarillo, TX
  • NPI 1134835424
  NPD (past)

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1942900709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 GERMANTOWN AVE APT 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442093",
            "telephone_number": "806-220-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091832",
            "telephone_number": "806-350-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 E Village Sq",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791190074",
            "country_code": "US",
            "telephone_number": "806-350-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7201 SW 34th Ave",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791093900",
            "country_code": "US",
            "telephone_number": "806-353-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "IVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "41253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacklyn Lee Esquivel, RBT
• Francis Essel
• Kiona Ester, MA, LPC
• Samantha McKeever Estes, LCSW, OTR
• Roberto Estevez, MD
• Tomas Estrada, CRNA
• Ethan Project Healthcare LLC
• Graciela Evans, RD
• Maverick Benjamin Evans, LCDC-I
• Peyton Evans

• Pediatric Dentistry in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.