Active NPI
Maureen Limosnero, DDS
- Dentist
- Ft Worth, TX
National Provider Identifier
1407945876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28653
- Practice address
- 400 N Beach St Ste 100
Ft Worth, TX 76111-7070 - Phone
- (817) 916-5237
- Fax
- (817) 916-4660
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7681 | OR | |
| Dentist | 122300000X | 28653 | TX | Primary |
Addresses
Primary practice location
400 N Beach St Ste 100
Ft Worth, TX 76111-7070
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other practice location 1
5110 Heritage Ave
Colleyville, TX 76034-5910
Phone (817) 318-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181134 | Medicaid | OR | |
| 911019392 | Other | COMMERCIAL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7681 | OR | MD | General Practice Dentistry |
| 28653 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Outreach Center | Current | Accepting new patients |
Locations
6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200
400 N Beach St
Ste 100
Ft Worth, TX 76111
Phone (817) 335-1994
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.
-
- Community/Behavioral Health Agency
- Fort Worth, TX
- NPI 1285761999
-
- Dental Clinic/Center
- Fort Worth, TX
- NPI 1154217545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1407945876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "323-467-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N BEACH ST STE 100",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761117070",
"telephone_number": "817-916-5237",
"fax_number": "817-916-4660"
}
],
"practiceLocations": [
{
"address_1": "5110 Heritage Ave",
"address_purpose": "LOCATION",
"city": "Colleyville",
"state": "TX",
"postal_code": "760345910",
"country_code": "US",
"telephone_number": "817-318-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIMOSNERO",
"first_name": "MAUREEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D7681",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181134",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "911019392",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.