Active NPI
Diana Vazquez, DDS
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1538615257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32082
- Practice address
- 4807 Maple Ave Ste 300
Dallas, TX 75219-1079 - Phone
- (469) 278-8747
- NPI assigned
- Sep 1, 2016
- Last updated
- Mar 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32082 | TX | Primary |
Addresses
Primary practice location
4807 Maple Ave Ste 300
Dallas, TX 75219-1079
Mailing address
8050 Fall River Dr
Dallas, TX 75228-5915
Phone (469) 278-8747
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 |
|---|---|---|---|
| 32082 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentamigos PLLC | General Practice | Current | Accepting new patients |
| Dentamici PLLC | General Practice | Current | Accepting new patients |
| Udc Buckner Blvd,, PLLC | General Practice | Past | Accepting new patients |
Locations
4807 Maple Ave
Ste 300
Dallas, TX 75219
Phone (214) 431-3727
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Universal Dental Clinic
- General Practice Dentistry
- Dallas, TX
- NPI 1508262791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710547200000",
"number": "1538615257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8050 FALL RIVER DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752285915",
"telephone_number": "469-278-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 MAPLE AVE STE 300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752191079",
"telephone_number": "469-278-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "DIANA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2024-03-16",
"certification_date": "2024-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32082",
"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 Mar 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.