Organization Active NPI

The Children's Dentist

  • Pediatric Dentistry
  • Harlingen, TX
National Provider Identifier
1982973616
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
17313 Issued in TX
Legal business name
THE CHILDREN'S DENTIST
Practice address
1717 E Harrison Ave
Harlingen, TX 78550-7389
Phone
(956) 428-2221
Fax
(956) 423-4492
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Dr. George M Angelos, DMDNPI 1013068055
Title
President
Phone
(956) 428-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 17313 TX Primary

Addresses

Primary practice location

1717 E Harrison Ave
Harlingen, TX 78550-7389

Mailing address

1717 E Harrison Ave
Harlingen, TX 78550-7389
Phone (956) 428-2221

Other identifiers 1

IdentifierTypeStateIssuer
126730402MedicaidTX

National Provider Directory

National Provider Directory

Locations

1717 E Harrison Ave
Harlingen, TX 78550
Phone (956) 428-2221

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": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1982973616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E HARRISON AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507389",
            "telephone_number": "956-428-2221",
            "fax_number": "956-423-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E HARRISON AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507389",
            "telephone_number": "956-428-2221",
            "fax_number": "956-423-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "ANGELOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-428-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "17313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126730402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.