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Ivan Estrada

Dentist - Pediatric Dentistry β€’ Amarillo, TX

Active NPI 1942900709 Individual Practitioner Male Practitioner
Practice location in NPPES

2300 Wolflin Ave
Amarillo, TX 791091832

Call 8063505437 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2300 Wolflin Ave

Amarillo, TX 791091832

Telephone 8063505437
Organization at the Same NPPES Address or Phone
Amarillo Pediatric Dentistry And Orthodontics, Pllc Facility NPI 1073614772

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Amarillo, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Amarillo and Texas

13 active clinicians are listed under Dentist - Pediatric Dentistry with a practice address in Amarillo, TX (1,019 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Amarillo

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-30
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES TX 41253

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

8900 E Village Sq

Amarillo, TX 791190074

Phone: 8063505437

7201 Sw 34th Ave

Amarillo, TX 791093900

Phone: 8063532113

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2025

Dentist (license number reported to NPPES: TX 41253)

πŸ“
Updated Practice Location March 15, 2025

Registered at 2300 WOLFLIN AVE, AMARILLO, TX 791091832 (Tel: 8063505437)

πŸ“
Updated Business Mailing Address March 15, 2025

Registered at 6311 GERMANTOWN AVE APT 301, PHILADELPHIA, PA 191442093 (Tel: 8062205727)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2025

Dentist (license number reported to NPPES: TX 41253)

βœ…
NPI Profile Active March 08, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 08, 2023

Registered at 160 E ERIE AVE, PHILADELPHIA, PA 191341011 (Tel: 2154275000)

πŸ“
Business Mailing Address (Initial Record) March 08, 2023

Registered at 160 E ERIE AVE, PHILADELPHIA, PA 191341011 (Tel: 2154275000)

πŸ‘€
Provider Name / Credentials (Initial Record) March 08, 2023

Recorded as IVAN ESTRADA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 08, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942900709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2023
Last Update: July 30, 2025
Sole Proprietor: Yes

Mailing Address

6311 Germantown Ave Apt 301

Philadelphia, PA 191442093

Phone: 8062205727

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.