Rada-Mayya K Kostadinova

Primary specialty

DentistTaxonomy code 122300000X

License

41840 Issued in TX

Practice address

Dentac HQ
36000 Shoemaker Lane, Suite 1051
Fort Cavazos, TX 76544

Phone

(551) 482-3639

NPI assigned

Aug 4, 2025

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1497639215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 SCOTT BLVD APT 7303",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047044",
            "telephone_number": "551-482-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DENTAC HQ",
            "address_2": "36000 SHOEMAKER LANE, SUITE 1051",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "551-482-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTADINOVA",
        "first_name": "RADA-MAYYA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Y Kim, DDS
• Nam Kwon Kim, DDS
• Cassandra Marie Klink, OTD, OTR/L
• Kelly Eileen Knapp, PT, DPT, CSCS
• Nickalous Alexander Korbut, LCSW
• Cyle Kroft, PA-C
• Christopher Kroll, PA-C
• Monika Agnieszka Krzyzek, D.O.
• Colar Kuhns
• Kraig A Kvalevog

• Dentist in Fort Cavazos, TX
• Providers in Fort Cavazos, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.