Active NPI
Mark Padilla, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Frisco, TX
National Provider Identifier
1043615495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 28035
- Practice address
- 8756 Teel Pkwy
Suite 336
Frisco, TX 75034-4414 - Phone
- (972) 712-9300
- NPI assigned
- Oct 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 28035 | TX | Primary |
Addresses
Primary practice location
8756 Teel Pkwy
Suite 336
Frisco, TX 75034-4414
Mailing address
8756 Teel Pkwy
Suite 336
Frisco, TX 75034-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28035 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1043615495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8756 TEEL PKWY",
"address_2": "SUITE 336",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8756 TEEL PKWY",
"address_2": "SUITE 336",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344414",
"telephone_number": "972-712-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "MARK",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-28",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "28035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.