Maurice Paige Altuve Cardona

Primary specialty

DentistTaxonomy code 122300000X

License

6001618-15 Issued in WI

Practice address

800 Polo Club Dr
Austin, TX 78737-2614

Phone

(512) 744-8908

NPI assigned

Mar 31, 2023

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1407551468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 POLO CLUB DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787372614",
            "telephone_number": "512-744-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLO CLUB DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787372614",
            "telephone_number": "512-744-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTUVE CARDONA",
        "first_name": "MAURICE",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001618-15",
            "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": []
}

• Deborah Lynn Altsman, R PH
• Audrey Sunshine Altstatt, RN
• Carolyn Elise Altuna, CRNA
• Neil Altuna, R.N.
• Roxanne Altuna
• Marla Deshong Alupoaicei
• Isabella Fyroseh Alvani
• Laura Guadalupe Alvarado-Rojas, MS, EMDR-T, BSP, LPC
• Alfredo Alvarado, COTA
• Amanda McKinney Alvarado, DNP, CPNP-AC

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.