OLGA R NOURI DMD
NPI 1710093398
Dentist in San Juan, TX

Q: What is Olga Nouri's NPI number?

The NPI number for Olga Nouri is 1710093398. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Olga Revilla Nouri.

Q: What is Olga Nouri's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Olga Nouri was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 23, 2006PECOS Enrolled

801 W 1ST ST, SAN JUAN, TX 78589(956) 787-8915(956) 787-2021 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 22, 2017 (2 updates tracked since 2017).

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About Olga R Nouri Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLGA R NOURI DMD (NPI 1710093398) is an individual dentist in San Juan, Texas, licensed in Texas (21116) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710093398

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameOLGA R NOURICredential: DMD

Location Address801 W 1ST STSan Juan, TX 78589-2276

Mailing Address801 W 1st StSan Juan, TX 78589 · (956) 787-8915 · Fax (956) 787-2021

Phone(956) 787-8915

Fax(956) 787-2021

Sole ProprietorNo

Enumeration DateAugust 23, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1710093398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 21116

Definition

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.

801 W 1ST ST, San Juan, TX 78589

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Other Names 1

Professional Name (2)Olga Revilla Nouri

Other Identifiers 2

Medicaid344333502TX

Other541522YLALTX · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olga R Nouri Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78589 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARMANDO GARCIA

Physician Assistant (Medical)