Individual provider Active NPI

Erica Marie Valencia, DDS

  • General Practice Dentistry
  • Lubbock, TX
National Provider Identifier
1316130305
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23463 Issued in TX
Practice address
1826 Parkway Dr Ste 500
Lubbock, TX 79403-4421
Phone
(806) 687-6259
Fax
(806) 771-0850
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23463 TX Primary

Addresses

Primary practice location

1826 Parkway Dr Ste 500
Lubbock, TX 79403-4421

Mailing address

1610 5TH St
Lubbock, TX 79401-2622
Phone (806) 765-2611

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
I20111019000314 TX Order and Referring Only - Oral SurgeryPractitioner - Oral SurgeryPractitioner - Dentist 2365614237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Lubbock, Inc CurrentSince Jan 28, 2024 Accepting new patients
Community Health Center of Lubbock, Inc. PastSince Jan 28, 2024 Accepting new patients

Locations

1610 5th St
Lubbock, TX 79401
Phone (806) 763-9999

1826 Parkway Dr
Ste 500
Lubbock, TX 79403
Phone (806) 687-6259

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1316130305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012622",
            "telephone_number": "806-765-2611",
            "fax_number": "806-687-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 PARKWAY DR STE 500",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794034421",
            "telephone_number": "806-687-6259",
            "fax_number": "806-771-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.