Diaz and Giles PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DIAZ AND GILES PA

Doing business as

Marketplace Dental Group and Orthodontics

Practice address

402 Simonton St
Suite # 100
Conroe, TX 77301-2666

Phone

(936) 441-4455

NPI assigned

Mar 8, 2010

Last updated

Mar 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Diaz

Title

Registered Agent

Phone

(936) 441-4455

Specialties & licenses 1

Addresses

Other names 1

• Marketplace Dental Group and Orthodontics Doing business as

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1518280346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SIMONTON STREET",
            "address_2": "SUITE # 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77301",
            "telephone_number": "936-441-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SIMONTON ST",
            "address_2": "SUITE # 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012666",
            "telephone_number": "936-441-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ AND GILES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "936-441-4455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marketplace Dental Group and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geralda Devilas
• Jessica Diane Devore, BSN, RN
• Devotion Healthcare Inc
• Devotion Hospice, LLC
• Devotion Palliative Care, LLC
• Isabelle Jacqueline Diaz, MA
• Yanira Diaz
• Larry R Diediker, L.A.T.
• Digestive and Liver Diseases Clinic PA
• Abigail Dillingham

• General Practice Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.