NORTH TEXAS BOULEVARD DENTAL, PLLC (NPI# 1609332733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609332733 |
| Entity Type | Organization |
| Organization Name | NORTH TEXAS BOULEVARD DENTAL, PLLC |
| Practice Address |
802 N Texas Blvd Weslaco TX 78596-4808 |
| Mailing Address |
3600 E Mckinney St Ste 100 Denton TX 76209-7557 |
| Practice Telephone | 9402207833 |
| Practice Fax Number | 8557315147 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | CRAIG COPELAND (DENTIST/OWNER) |
| Authorized Official Telephone | 9402207833 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Magic | Doing Business As Name - Organization |
| Street Address |
802 N TEXAS BLVD |
| City | WESLACO |
| State | TX |
| Zip Code | 78596-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831750827 | Katherine Aiko Sonoda | Dentist | 802 N Texas Blvd, Weslaco, TX 78596-4808 | 2019-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179075 | Jamil Shafiq Amlani | Student in an Organized Health Care Education/Training Program | 1401 E 8th Street, Weslaco, TX 78596 | 2020-06-19 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1225512387 | Luis Lopez | Physical Therapy Assistant | 906 S James St, Weslaco, TX 78596 | 2018-09-24 |
| 1891280798 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2215 W. Business 83, Weslaco, TX 78596 | 2018-06-25 |
| 1669993143 | Carolina Gomez De Ziegler | Family Medicine | 1401 E Eight St, Weslaco, TX 78596 | 2017-07-05 |
| 1528596095 | Amen Provider Services Inc | Home Health | 401 S Kansas Ave Ste D2, Weslaco, TX 78596 | 2017-05-30 |
| 1518419217 | Amor Y Amistad Primary Home Care, LLC. | Home Health | 3514 Palmero Dr, Weslaco, TX 78596 | 2016-10-28 |
| 1639531197 | Provision Home Care Services, LLC | Home Health | 617 S Texas Blvd, Ste A, Weslaco, TX 78596 | 2016-03-24 |
| 1811358260 | National Vision, Inc. | Technician/Technologist | 1919 Us Expwy 83, Ste 200, Weslaco, TX 78596 | 2016-03-14 |
| 1902264989 | Brenda Fadeyi | Optometrist | 1919 W. Business 83, Weslaco, TX 78596 | 2016-02-04 |
| Find all providers in zip 78596 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891179362 | Anthony Conner Villarreal | Dentist | 461 N Westgate Dr, Weslaco, TX 78596-2705 | 2015-07-15 |
| 1538402276 | Bafukai, LLC | Dentist | 902 S Airport Dr Ste 2, Weslaco, TX 78596-6649 | 2013-04-01 |
| 1811235609 | Rgv Family Dentistry By Luz E Martinez Dds Pllc | Dentist | 909 James Street, Suite G, Weslaco, TX 78596 | 2013-01-29 |
| 1598055063 | Christopher Javier Martinez | Dentist | 904 N Texas Blvd, Weslaco, TX 78596-4512 | 2011-04-18 |
| 1043498413 | William Martin Carter | Dentist | 519 S Missouri Ave, Weslaco, TX 78596-6019 | 2008-02-07 |
| 1275728909 | Javier O. De La Garza, Dds, Pa | Dentist | 901 E 6th St Ste 2, Weslaco, TX 78596-6449 | 2007-09-06 |
| 1013126168 | Robert Charles Manning | Dentist | 901 East 6th Street, Suite #4, Weslaco, TX 78596 | 2007-05-22 |
| 1265587687 | Claudia Hernandez | Dentist | 1116 E 8th St Ste 4, Weslaco, TX 78596-7288 | 2007-01-24 |
| 1013078898 | Hector Jose Montalvo | Dentist | 1210 E 8th St, Suite 2, Weslaco, TX 78596-7120 | 2006-12-13 |
| 1861572950 | Michael W Fuqua Dds | Dentist | 713 S Texas, Weslaco, TX 78596 | 2006-10-16 |
| Find all providers in WESLACO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.