BERNARDINO OCTAVIO ELIZONDO D.D.S. P.C. (NPI# 1851404420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851404420 |
| Entity Type | Organization |
| Organization Name | BERNARDINO OCTAVIO ELIZONDO D.D.S. P.C. |
| Other Organization Name | SUNSHINE FAMILY DENTISTRY |
| Practice Address |
1389 W Us Highway 77 Suite E San Benito TX 78586-4161 |
| Practice Telephone | 9563999929 |
| Practice Fax Number | 9563994855 |
| Mailing Telephone | 9563999929 |
| Mailing Fax Number | 9563994855 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2010-04-23 |
| Authorized Official Name | DR. BERNARDINO OCTAVIO ELIZONDO (OWNER/ PRESIDENT) |
| Authorized Official Telephone | 9563999929 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 19338 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 155609401 | 05 | |
| TX | TEXAS CHIP | G60092-01 | 01 |
| Other Name | Type Code |
|---|---|
| Sunshine Family Dentistry | Doing Business As Name - Organization |
| Street Address |
1389 W US HIGHWAY 77 SUITE E |
| City | SAN BENITO |
| State | TX |
| Zip Code | 78586-4161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903542 | Ana Cecilia Santana | Counselor | 401 E. Business Hwy 77, San Benito, TX 78586 | 2019-10-11 |
| 1629636519 | Jodie Bulnes | Social Worker | 2310 W. Business Hwy 77, San Benito, TX 78586 | 2019-06-05 |
| 1730651225 | Alma De La Garza | Licensed Vocational Nurse | 24369 Resaca Llena Drive, San Benito, TX 78586 | 2018-12-20 |
| 1144719428 | Fernando Vasquez Jr. | Physician Assistant | 400 Us-77 Bus, San Benito, TX 78586 | 2018-05-02 |
| 1447660048 | Rodeo Dental & Orthodontics | Dentist | 1141 Us Business 77, Ste G, San Benito, TX 78586 | 2014-05-05 |
| 1528309044 | Sergio De La Garza | Pharmacist | 1095 W. Business 77, San Benito, TX 78586 | 2013-03-07 |
| 1255692489 | Priscilla Sustaita | Speech-Language Pathologist | 935 S. Travis Rd., San Benito, TX 78586 | 2012-06-05 |
| 1740572148 | Infinity Rehab Services, LLC | Occupational Therapist | 115 N Williams Road, Ste. A, San Benito, TX 78586 | 2011-05-04 |
| 1346556305 | Deborah Gallaga | Pharmacist | 1095 W Highway 77, San Benito, TX 78586 | 2010-08-27 |
| 1811201478 | Pete Martinez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26619 Line G Road, San Benito, TX 78586 | 2010-08-05 |
| Find all providers in zip 78586 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447660048 | Rodeo Dental & Orthodontics | Dentist | 1141 Us Business 77, Ste G, San Benito, TX 78586 | 2014-05-05 |
| 1013010453 | Serapio De La Rosa Jr. | Dentist | 985 South Sam Houston, San Benito, TX 78586 | 2006-09-07 |
| 1265418487 | Bernardino Octavio Elizondo | Dentist | 1389 West Business Hwy 77, Suite E, San Benito, TX 78586 | 2005-12-20 |
| 1760895742 | Crystal Villarreal | Dentist | 985 S Sam Houston Blvd, San Benito, TX 78586-3064 | 2014-06-06 |
| 1720393770 | Marcos Espiridion Martinez | Dentist | 985 S Sam Houston Blvd, San Benito, TX 78586-3064 | 2010-08-15 |
| 1902063878 | Valerie Drake | Dentist | 995 N Dick Dowling St, San Benito, TX 78586-5219 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
| 1659971653 | Richardson Heights Dental, Pllc | Dentist | 721 W Arapaho Rd Ste 101, Richardson, TX 75080-4155 | 2020-10-28 |
| 1053911396 | Ko Dental Group, PC | Dentist | 302 S. Avenue Q, Clifton, TX 76634 | 2020-10-27 |
| 1972103240 | Kla Dr Pllc | Dentist | 2100 Dallas Pkwy Ste 120, Plano, TX 75093-4394 | 2020-10-27 |
| 1255930798 | Jpm Dental Conroe | Dentist | 2104 N Frazier St Ste 140, Conroe, TX 77301-1250 | 2020-10-24 |
| 1407455173 | Perla Dental of Kaufman Pa | Dentist | 380 E Us Highway 175, Kaufman, TX 75142-3548 | 2020-10-22 |
| 1497354179 | Perla Dental of Keller Pa | Dentist | 5325 Golden Triangle Blvd Ste 100, Fort Worth, TX 76244-4469 | 2020-10-22 |
| 1770182701 | Summit Point Dental & Implant Center | Dentist | 3124 West University Drive, Mckinney, TX 75071-7507 | 2020-10-21 |
| 1760081954 | Amlan Pankaj | Dentist | 802 E Amarillo Blvd # 300, Amarillo, TX 79107-5401 | 2020-10-20 |
| 1114525581 | Ashley Roy | Dentist | 9099 Katy Fwy Ste 180, Houston, TX 77024-1677 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | SAN BENITO |
| Zip Code | 78586 |
Please comment or provide details below to improve the information on BERNARDINO OCTAVIO ELIZONDO D.D.S. P.C..
| 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.