Pooja Madan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30281 Issued in TX

Practice address

4997 N Twin City Hwy
Port Arthur Smiles
Port Arthur, TX 77642-5845

Phone

(409) 548-0685

NPI assigned

Jul 10, 2014

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Port Arthur Smiles Inc

  • Dentist
  • Port Arthur, TX
  • NPI 1891035499
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1457767428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 WHITE DOVE CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737012",
            "telephone_number": "562-481-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4997 N TWIN CITY HWY",
            "address_2": "PORT ARTHUR SMILES",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425845",
            "telephone_number": "409-548-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN",
        "first_name": "POOJA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lopez
• Melanie Loski, P.T., D.PT
• Monica Kathleen Loverdi, FNP
• Luxottica Retail North America Inc
• Nicole Lee Maccallum, LPC
• Jared Clark Mallory, P.T.
• Arnold O Manske, MD
• Brooke Ann Manuel, FNP
• Rene Soan Manuel, P.T.
• Margaret Lang-Williams, MD PA

• Dentist in Port Arthur, TX
• Providers in Port Arthur, 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, 2014; 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.