Organization Active NPI

Guadalupe MC LLC

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1437720257
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GUADALUPE MC LLC
Practice address
18220 Midway Rd # 999
Dallas, TX 75287-4901
Phone
(469) 501-1006
Fax
(469) 606-0753
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Marcial Oquendo Rincon, MDNPI 1821482886
Title
MD (Owner)
Phone
(469) 606-0753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

18220 Midway Rd # 999
Dallas, TX 75287-4901

Mailing address

14951 Dallas Pkwy Ste 190
Dallas, TX 75254-6894
Phone (469) 501-1006

Other practice location 1

1927 E Belt Line Rd Ste 147
Carrollton, TX 75006-5814
Phone (469) 501-1006

Other practice location 2

26875 W University Dr Suite 104
Dallas, TX 76227
Phone (469) 501-1006

Other practice location 3

611 N MacArthur Blvd Ste 110
Irving, TX 75061-7467
Phone (469) 501-1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210719000078 TX Part B Supplier - Clinic/Group Practice 6002218765 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

18220 Midway Rd
#999
Dallas, TX 75287

18220 Midway Rd
Dallas, TX 75287
Phone (469) 501-1006

18220 Midway Rd
Ste 999
Dallas, TX 75287

611 N MacArthur Blvd
Ste 110
Irving, TX 75061
Phone (972) 253-4904

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1437720257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14951 DALLAS PKWY STE 190",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546894",
            "telephone_number": "469-501-1006",
            "fax_number": "469-606-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 MIDWAY RD # 999",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752874901",
            "telephone_number": "469-501-1006",
            "fax_number": "469-606-0753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1927 E Belt Line Rd Ste 147",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750065814",
            "country_code": "US",
            "telephone_number": "469-501-1006",
            "fax_number": "469-606-0753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26875 W University Dr Suite 104",
            "address_purpose": "LOCATION",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "76227",
            "country_code": "US",
            "telephone_number": "469-501-1006",
            "fax_number": "469-606-0753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 N MacArthur Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750617467",
            "country_code": "US",
            "telephone_number": "469-501-1006",
            "fax_number": "469-606-0753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUADALUPE MC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "OQUENDO RINCON",
        "authorized_official_first_name": "MARCIAL",
        "authorized_official_title_or_position": "MD (OWNER)",
        "authorized_official_telephone_number": "469-606-0753",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.