Active NPI
Ferdinand Cintron Padilla, DMD
- Pediatric Dentistry
- Augusta, GA
National Provider Identifier
1235395807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN013775
- Practice address
- 1459 Laney Walker Blvd
School of Dentistry
Augusta, GA 30912-1210 - Phone
- (706) 721-2716
- Fax
- (706) 721-1893
- NPI assigned
- Aug 4, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013775 | GA | |
| Pediatric Dentistry | 1223P0221X | DN013775 | GA | Primary |
Addresses
Primary practice location
1459 Laney Walker Blvd
School of Dentistry
Augusta, GA 30912-1210
Mailing address
2501 Henry St
Augusta, GA 30904-4653
Phone (706) 414-6904
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 |
|---|---|---|---|
| DN013775 | GA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1235395807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 HENRY ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044653",
"telephone_number": "706-414-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1459 LANEY WALKER BLVD",
"address_2": "SCHOOL OF DENTISTRY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309121210",
"telephone_number": "706-721-2716",
"fax_number": "706-721-1893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "FERDINAND",
"middle_name": "CINTRON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013775",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN013775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.