Individual provider Active NPI

Diane Margret Balen Cabuguason, DDS

  • Dentist
  • Midland, TX
National Provider Identifier
1619655495
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40749 Issued in TX
Practice address
4400 N Midland Dr Ste 702
Midland, TX 79707-3456
Phone
(432) 699-4811
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7847 NV
Dentist 122300000X 40749 TX Primary

Addresses

Primary practice location

4400 N Midland Dr Ste 702
Midland, TX 79707-3456

Mailing address

3700 N Edwards St Apt 931
Midland, TX 79705-2718
Phone (818) 960-9856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025000212 CA Order and Referring Only - DentistPractitioner - Dentist 8325494545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7847NVMDDentist
40749TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oweis Union Village Modern Dentistry, PC PastSince Jul 1, 2023 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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1619655495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N EDWARDS ST APT 931",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797052718",
            "telephone_number": "818-960-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N MIDLAND DR STE 702",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073456",
            "telephone_number": "432-699-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABUGUASON",
        "first_name": "DIANE MARGRET",
        "middle_name": "BALEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7847",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.