Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942900709 Individual Practitioner Male Practitioner

Ivan Estrada

Dentist - Pediatric Dentistry • Amarillo, TX

Professional Overview & Biography Verified Profile Summary

Ivan Estrada is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Amarillo, TX. Practice services are available at 2300 WOLFLIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2300 Wolflin Ave

Amarillo, TX 791091832

Telephone 8063505437
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Amarillo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Amarillo, TX (1046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-30
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License 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.

Secondary Practice Locations

8900 E Village Sq

Amarillo, TX 791190074

Phone: 8063505437

7201 Sw 34th Ave

Amarillo, TX 791093900

Phone: 8063532113

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Eric Devries , DMD

Dentist - Pediatric Dentistry

NPI 1003019290

Doctor of Dental Medicine

Dr. Amandeep Pentlia , DDS

Dentist - Pediatric Dentistry

NPI 1346859543

Doctor of Dental Surgery

David Harney , DDSMS

Dentist - Pediatric Dentistry

NPI 1497101273
Dr. Shane Moore , DDS

Dentist - Pediatric Dentistry

NPI 1538233622

Doctor of Dental Surgery

Dr. William Kemp , DDS

Dentist - Pediatric Dentistry

NPI 1689677098

Doctor of Dental Surgery

Dr. Nahimar Davis , DMD

Dentist - General Practice

NPI 1710740543

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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

Dentist (License #41253 in TX)

📍
Updated Practice Location March 15, 2025

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

📍
Updated Business Mailing Address March 15, 2025

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

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

Dentist (License #41253 in TX)

NPI Profile Active March 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2023

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

📍
Updated Business Mailing Address March 08, 2023

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

👤
Provider Name / Credentials Updated March 08, 2023

Recorded as IVAN ESTRADA

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.