Individual provider Active NPI

Javier Trevino, DDS

  • General Practice Dentistry
  • La Feria, TX
National Provider Identifier
1952409195
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22381 Issued in TX
Practice address
100 S Main St
La Feria, TX 78559-5005
Phone
(956) 797-4444
Fax
(956) 797-2427
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22381 TX Primary

Addresses

Primary practice location

100 S Main St
La Feria, TX 78559-5005

Mailing address

100 S Main St
La Feria, TX 78559-5005
Phone (956) 797-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206004046 TX Order and Referring Only - DentistPractitioner - Dentist 9032418355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22381TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Family Dentistry, PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1952409195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "785595005",
            "telephone_number": "956-797-4444",
            "fax_number": "956-797-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "785595005",
            "telephone_number": "956-797-4444",
            "fax_number": "956-797-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "JAVIER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Feria, TX

Sources for this page

Verify at the official NPI Registry.