Organization Active NPI

J Michael Adame DDS PA

  • Dentist
  • Edinburg, TX
National Provider Identifier
1972690410
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
J MICHAEL ADAME DDS PA
Practice address
206 W Mahl
Edinburg, TX 78539
Phone
(956) 383-4400
Fax
(956) 383-6005
NPI assigned
Oct 6, 2006
Last updated
Apr 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Cordelia C Adame, CPA
Title
Office Manager
Phone
(956) 383-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

206 W Mahl
Edinburg, TX 78539

Mailing address

206 W Mahl
Edinburg, TX 78539
Phone (956) 383-4400

Other practice location 1

201 N Main St Ste B
Donna, TX 78537-2720
Phone (956) 464-4448

Other identifiers 1

IdentifierTypeStateIssuer
135051407MedicaidTX

National Provider Directory

National Provider Directory

Locations

201 N Main St
Ste B
Donna, TX 78537
Phone (956) 464-4448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1972690410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W MAHL",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-383-4400",
            "fax_number": "956-383-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W MAHL",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-383-4400",
            "fax_number": "956-383-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Donna",
            "state": "TX",
            "postal_code": "785372720",
            "country_code": "US",
            "telephone_number": "956-464-4448",
            "fax_number": "956-464-9742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J MICHAEL ADAME DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "ADAME",
        "authorized_official_first_name": "CORDELIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-383-4400",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135051407",
            "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 Apr 29, 2020; 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.