Individual provider Active NPI

Maribel Colon-Torrado, DMD

  • Pediatric Dentistry
  • Tomball, TX
National Provider Identifier
1396042925
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21532 Issued in TX
Practice address
63 Beacons Light PL
Tomball, TX 77375-3143
Phone
(713) 503-9073
NPI assigned
Feb 16, 2011
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 21532 TX Primary

Addresses

Primary practice location

63 Beacons Light PL
Tomball, TX 77375-3143

Mailing address

63 Beacons Light PL
Tomball, TX 77375-3143
Phone (713) 503-9073

Other identifiers 1

IdentifierTypeStateIssuer
162747301MedicaidTX

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

LicenseStateTypeSpecialty
21532TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
JCDC Group, PLLC Pediatric Dentistry PastSince Sep 17, 2023 Accepting new patients
Maribel Colon-Torrado DMD, PA Past Accepting new patients

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, 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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1396042925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BEACONS LIGHT PL",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753143",
            "telephone_number": "713-503-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BEACONS LIGHT PL",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753143",
            "telephone_number": "713-503-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-TORRADO",
        "first_name": "MARIBEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162747301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.