Individual provider Active NPI

Maria L. Trinidad, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1053475681
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38189 Issued in TX
Practice address
8338 N Loop 1604 W Ste 104
San Antonio, TX 78249-3482
Phone
(210) 877-9100
Fax
(518) 869-1965
NPI assigned
Dec 20, 2006
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 050222 NY
General Practice Dentistry 1223G0001X 38189 TX Primary

Addresses

Primary practice location

8338 N Loop 1604 W Ste 104
San Antonio, TX 78249-3482

Mailing address

8338 N Loop 1604 W Ste 104
San Antonio, TX 78249-3482
Phone (210) 877-9100

Other identifiers 2

IdentifierTypeStateIssuer
050222OtherNYNEW YORK STATE LICENSE
38189OtherTXGENERAL DENTIST

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

State licenses

LicenseStateTypeSpecialty
050222NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Emblemhealth Medical and Dental Services Inc. Past Accepting new patients
Group Health Incorporated Past Accepting new patients
Ideal Dental of Road Runner PLLC PastSince Mar 27, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1053475681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 N LOOP 1604 W STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493482",
            "telephone_number": "210-877-9100",
            "fax_number": "214-292-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 N LOOP 1604 W STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493482",
            "telephone_number": "210-877-9100",
            "fax_number": "518-869-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINIDAD",
        "first_name": "MARIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050222",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "050222",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "38189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.