Active NPI
Tomas Adolfo Canales, DDS
- General Practice Dentistry
- Mission, TX
National Provider Identifier
1639296148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14908
- Practice address
- 1001 Highland Park Ave
Ste G
Mission, TX 78572-4452 - Phone
- (956) 585-4341
- Fax
- (956) 584-8529
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- 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 | 14908 | TX | Primary |
Addresses
Primary practice location
1001 Highland Park Ave
Ste G
Mission, TX 78572-4452
Mailing address
1001 Highland Park Ave
Ste G
Mission, TX 78572-4452
Phone (956) 585-4341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051217 | Other | TX | CHIPS |
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 |
|---|---|---|---|
| 14908 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canales Dental PA | General Practice | Past | Accepting new patients |
| Sunset Dental PA | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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
- Mission, TX
- NPI 1649374224
-
- General Practice Dentistry
- Donna, TX
- NPI 1568625705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1639296148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 HIGHLAND PARK AVE",
"address_2": "STE G",
"city": "MISSION",
"state": "TX",
"postal_code": "785724452",
"telephone_number": "956-585-4341",
"fax_number": "956-584-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HIGHLAND PARK AVE",
"address_2": "STE G",
"city": "MISSION",
"state": "TX",
"postal_code": "785724452",
"telephone_number": "956-585-4341",
"fax_number": "956-584-8529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANALES",
"first_name": "TOMAS",
"middle_name": "ADOLFO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIPS",
"identifier": "051217",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.