Individual provider Active NPI

Gabriela A Palacios, D.D.S

  • Pediatric Dentistry
  • Richmond, TX
National Provider Identifier
1235771395
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
37945 Issued in TX
Practice address
10177 W Grand Pkwy S Ste 104
Richmond, TX 77407-8682
Phone
(346) 702-3382
NPI assigned
Oct 10, 2019
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 032R PR
Pediatric Dentistry 1223P0221X 37945 TX Primary

Addresses

Primary practice location

10177 W Grand Pkwy S Ste 104
Richmond, TX 77407-8682

Mailing address

10177 W Grand Pkwy S
Richmond, TX 77407-8675

Other names 1

  • Gabriela A Palacios Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221118000957 TX Order and Referring Only - DentistPractitioner - Dentist 3577931740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032RPRMDDentist
37945TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joyous Smiles Pediatric Dentistry PLLC Pediatric Dentistry CurrentSince Apr 9, 2023 Accepting new patients

Locations

25031 Westheimer Pkwy
Ste 700
Katy, TX 77494
Phone (832) 278-1243

Organizations & group practices 1

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1235771395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10177 W GRAND PKWY S",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10177 W GRAND PKWY S STE 104",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078682",
            "telephone_number": "346-702-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "GABRIELA",
        "middle_name": "A",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2023-04-04",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "032R",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "37945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "PALACIOS",
            "middle_name": "A",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.