Active NPI
Therese Madelle Urbina, DDS
- Dentist
- Austin, TX
National Provider Identifier
1538323183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23912
- Practice address
- 940 Payton Gin Rd
Austin, TX 78758-6720 - Phone
- (713) 947-9800
- Fax
- (713) 947-9843
- NPI assigned
- Jul 14, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23912 | TX | Primary |
Addresses
Primary practice location
940 Payton Gin Rd
Austin, TX 78758-6720
Mailing address
905 Saint Helena Dr
Leander, TX 78641
Phone (713) 504-7798
Other names 1
- Dr. Therese Madelle Calderon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23912 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urbina Family Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Austin, TX
- NPI 1801201066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1538323183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SAINT HELENA DR",
"city": "LEANDER",
"state": "TX",
"postal_code": "78641",
"telephone_number": "713-504-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 PAYTON GIN RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787586720",
"telephone_number": "713-947-9800",
"fax_number": "713-947-9843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBINA",
"first_name": "THERESE",
"middle_name": "MADELLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "23912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESE",
"last_name": "CALDERON",
"middle_name": "MADELLE",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.