Individual provider Active NPI

Alegra Virella, DMD

  • General Practice Dentistry
  • San Benito, TX
National Provider Identifier
1982735361
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24607 Issued in TX
Practice address
995 N Dick Dowling St
San Benito, TX 78586-5219
Phone
(956) 399-1889
Fax
(956) 399-1878
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24607 TX Primary
General Practice Dentistry 1223G0001X DS036701 PA
Pediatric Dentistry 1223P0221X 24607 TX

Addresses

Primary practice location

995 N Dick Dowling St
San Benito, TX 78586-5219

Mailing address

3313 E Cobblestone Creek Dr
Harlingen, TX 78550-7416
Phone (215) 205-5516

Other names 1

  • Alegra Midgley Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036701PAMDGeneral Practice Dentistry
24607TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Valerie Drake Past Accepting new patients
RGV Dental, PLLC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1982735361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 E COBBLESTONE CREEK DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507416",
            "telephone_number": "215-205-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 N DICK DOWLING ST",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785865219",
            "telephone_number": "956-399-1889",
            "fax_number": "956-399-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRELLA",
        "first_name": "ALEGRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24607",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036701",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEGRA",
            "last_name": "MIDGLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Benito, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.