Active NPI
Graciela Hernandez, DDS, MSD
- Prosthodontics
- Houston, TX
National Provider Identifier
1205162294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- F25015
- Practice address
- 6516 M D Anderson Blvd RM 440
Houston, TX 77030-3402 - Phone
- (317) 418-0719
- NPI assigned
- Oct 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | F25015 | TX | Primary |
Addresses
Primary practice location
6516 M D Anderson Blvd RM 440
Houston, TX 77030-3402
Mailing address
3 Hermann Museum Circle Dr Apt 6201
Houston, TX 77004-7980
Phone (317) 418-0719
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 |
|---|---|---|---|
| F25015 | TX | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1205162294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HERMANN MUSEUM CIRCLE DR APT 6201",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047980",
"telephone_number": "317-418-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6516 M D ANDERSON BLVD RM 440",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303402",
"telephone_number": "317-418-0719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "GRACIELA",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-26",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TX",
"license": "F25015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.