Maria Tiefenbach, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21454 Issued in TX

Practice address

3435 S Alameda St Ste a
Corpus Christi, TX 78411-1797

Phone

(361) 853-0381

Fax

(361) 992-1862

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Paul a Kennedy, Jr., D.D.S., Inc

  • Pediatric Dentistry
  • Corpus Christi, TX
  • NPI 1720008568
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1619909892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143421",
            "telephone_number": "361-992-9500",
            "fax_number": "361-992-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 S ALAMEDA ST STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111797",
            "telephone_number": "361-853-0381",
            "fax_number": "361-992-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEFENBACH",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21454",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159673601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrance Heath Thornburg, TECHNICIAN
• Brooke L Thorpe, PT
• Lara Camille Thurmond, APRN-CNP
• Brent Tibbet, DMD, MS
• Tide Dental Corpus Christi PLLC
• John Tijerina
• Nakita Nicole Tijerina, LVN
• Florence Garcia Tiller, SLP
• Franca Mngu Tilley-Gyado, M.D
• Lisa Tilley

• All providers in Corpus Christi, TX
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.