Roberto Joel Jauregui Leiva

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

36000 Darnall Loop Ste 1051
Fort Hood, TX 76544-5095

Phone

(904) 731-6387

NPI assigned

Nov 8, 2021

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1972268571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 THAYER DR APT 623",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765497007",
            "telephone_number": "904-731-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP STE 1051",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445095",
            "telephone_number": "904-731-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUREGUI LEIVA",
        "first_name": "ROBERTO",
        "middle_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James John Jan, DDS
• Riley Christian Janke, OD
• Shawn Marie Janusz, RDH
• Josefa Del Carmen Jaravalero, EFDA
• Jennifer M Jarvis, AU.D., CCC-A
• Erica Leanne Jefferson, PHARMD
• Shawn Cheri Jenney, LVN
• Ryan Reid Jensen, DPT
• Adrian R. Johnson, MSW
• Amy-Jo Guzman Johnson, LMFT

• Dental Assistant in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Dental Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.