Active NPI
Ricardo A. Vasquez, D.D.S.
- General Practice Dentistry
- Edinburg, TX
National Provider Identifier
1952456162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21786
- Practice address
- 4853 S Jackson Rd
Edinburg, TX 78539-9793 - Phone
- (956) 630-4755
- NPI assigned
- Jan 25, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21786 | TX | Primary |
Addresses
Primary practice location
4853 S Jackson Rd
Edinburg, TX 78539-9793
Mailing address
4853 S Jackson Rd
Edinburg, TX 78539-9793
Phone (956) 630-4755
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B21786-01 | Other | TX | CHIPS PROVIDER NUMBER |
| 01637598 | Other | TX | UNITED CONCORDIA TRICARE |
| 1703720-01 | Medicaid | TX |
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 |
|---|---|---|---|
| 21786 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vasquez Dental Health Center L.L.C. | 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.
-
dba Vasquez Dental Health Center
- Dental Clinic/Center
- Edinburg, TX
- NPI 1376399014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1952456162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4853 S JACKSON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785399793",
"telephone_number": "956-630-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4853 S JACKSON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785399793",
"telephone_number": "956-630-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "RICARDO",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIPS PROVIDER NUMBER",
"identifier": "B21786-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA TRICARE",
"identifier": "01637598",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1703720-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.