Individual provider Active NPI

Mayra Estrada, DDS

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1609395375
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32926 Issued in TX
Practice address
2832 Eldorado Pkwy Ste 210
Frisco, TX 75033
Phone
(214) 618-5311
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32926 TX Primary

Addresses

Primary practice location

2832 Eldorado Pkwy Ste 210
Frisco, TX 75033

Mailing address

2832 Eldorado Pkwy Ste 210
Frisco, TX 75033-7439

Other practice location 1

1707 N Hall St Apt 203
Dallas, TX 75204-3957
Phone (806) 640-8041

Other practice location 2

2832 Eldorado Pkwy Ste 210
Frisco, TX 75033
Phone (214) 618-5311

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

LicenseStateTypeSpecialty
32926TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Network Provider Associates, P.C. General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1609395375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 ELDORADO PKWY STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750337439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 ELDORADO PKWY STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75033",
            "telephone_number": "214-618-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 N Hall St Apt 203",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752043957",
            "country_code": "US",
            "telephone_number": "806-640-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2832 Eldorado Pkwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75033",
            "country_code": "US",
            "telephone_number": "214-618-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "MAYRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.