Adriana Morales Buendia

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

40336 Issued in TX

Practice address

3111 S Texas Ave
Bryan, TX 77802-3124

Phone

(979) 721-9217

NPI assigned

Mar 20, 2024

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1396505988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 NORMANDY WAY",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778081485",
            "telephone_number": "979-587-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S TEXAS AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023124",
            "telephone_number": "979-721-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES BUENDIA",
        "first_name": "ADRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "40336",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Moore
• Kerry Moore, LPC
• Lee David Moore, M.D.
• David Gabriel Mora-Boellstorff, MD
• Lacie Morace
• Vanessa Morales
• Dane Samuel Moran, MD, MPH
• John Moreno, M.D.
• Morgan Virtual Psychiatry PLLC
• Billie Jo Morgan, PMHNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Bryan, TX
• Providers in Bryan, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.