Marco Antonio Cueva, D.D.S.,M.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

21478 Issued in TX

Practice address

1511 W McDermott Dr
Suite 200
Allen, TX 75013-2817

Phone

(972) 390-9944

Fax

(972) 390-9190

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• North Dallas Sleep Disorder Center LLC

  • Customized Equipment (DME)
  • Allen, TX
  • NPI 1730553991
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407905680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 W MCDERMOTT DR",
            "address_2": "SUITE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132817",
            "telephone_number": "972-390-9944",
            "fax_number": "972-390-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W MCDERMOTT DR",
            "address_2": "SUITE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132817",
            "telephone_number": "972-390-9944",
            "fax_number": "972-390-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVA",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "21478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiana Cruz
• Crystal Comfort Home Care
• CTC Wounded But Not Broken
• Cuddly Smiles Pediatric Dentistry & Orthodontics P.C
• Stevan Cuellar, NP-C
• Kai Qi Cui, MPT
• Samantha Culbertson
• Andrea Lynn Cunningham, LPC-S
• Ruby Elaine Cunningham
• Cuong Nguyen DC PLLC

• Periodontics in Allen, TX
• Providers in Allen, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.