Individual provider Active NPI

Cine Marina Paul, DMD

  • Dentist
  • Balch Springs, TX
National Provider Identifier
1649508656
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25101 Issued in TX
Practice address
11203 Lake June Rd Ste 120
Balch Springs, TX 75180-1304
Phone
(972) 752-6210
Fax
(972) 629-6905
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14042917 TX
Dentist 122300000X 019028576 IL
Dentist 122300000X 25101 TX Primary

Addresses

Primary practice location

11203 Lake June Rd Ste 120
Balch Springs, TX 75180-1304

Mailing address

909 Tripp Rd # 190
Mesquite, TX 75150-5703
Phone (972) 752-6210

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
25101TXMDClinical Child & Adolescent Psychologist
019028576ILMDDentist
14042917TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
JD Mesquite Dental PLLC Dentist 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": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1649508656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 TRIPP RD # 190",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505703",
            "telephone_number": "972-752-6210",
            "fax_number": "773-565-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 LAKE JUNE RD STE 120",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751801304",
            "telephone_number": "972-752-6210",
            "fax_number": "972-629-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "CINE",
        "middle_name": "MARINA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14042917",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028576",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Balch Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.