Active NPI
Maria L. Trinidad, D.D.S.
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1053475681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38189
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050222 | Other | NY | NEW YORK STATE LICENSE |
| 38189 | Other | TX | GENERAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 050222 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emblemhealth Medical and Dental Services Inc. | Past | Accepting new patients | |
| Group Health Incorporated | Past | Accepting new patients | |
| Ideal Dental of Road Runner PLLC | Past | 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.
-
- Dentist
- San Antonio, TX
- NPI 1649634007
-
dba GHI Family Dental Practice/OEHC
- Health Service Clinic/Center
- Albany, NY
- NPI 1275823734
-
dba GHI Family Dental Practice
- Dental Clinic/Center
- Albany, NY
- NPI 1629175831
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.