Organization Active NPI

Mid Valley Dental Group, PLLC

Doing business as Dental Care Associates

  • General Practice Dentistry
  • Weslaco, TX
National Provider Identifier
1952794083
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15409 Issued in TX
Legal business name
MID VALLEY DENTAL GROUP, PLLC
Doing business as
Dental Care Associates
Practice address
1124 E 8TH St
Weslaco, TX 78596-7152
Phone
(956) 968-9762
Fax
(956) 968-8570
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Dr. James R Foster, DDS
Title
Owner
Phone
(956) 968-9762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15409 TX Primary

Addresses

Primary practice location

1124 E 8TH St
Weslaco, TX 78596-7152

Mailing address

1124 E 8TH St
Weslaco, TX 78596-7152
Phone (956) 968-9762

Other identifiers 1

IdentifierTypeStateIssuer
178906703MedicaidTX

Other names 1

  • Dental Care Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Care Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1952794083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E 8TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785967152",
            "telephone_number": "956-968-9762",
            "fax_number": "956-968-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E 8TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785967152",
            "telephone_number": "956-968-9762",
            "fax_number": "956-968-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-968-9762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178906703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.