Active NPI
Frederico Duarte Da Silva, D.D.S.
- Periodontics
- Flower Mound, TX
National Provider Identifier
1659732824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 35707
- Practice address
- 1005 Long Prairie Rd Ste 100
Flower Mound, TX 75022-4232 - Phone
- (352) 999-4866
- NPI assigned
- Mar 15, 2016
- Last updated
- May 8, 2024
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 35707 | TX | Primary |
Addresses
Primary practice location
1005 Long Prairie Rd Ste 100
Flower Mound, TX 75022-4232
Mailing address
3810 Ironwood Dr
Prosper, TX 75078-5154
Phone (352) 999-4866
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 |
|---|---|---|---|
| 35707 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1659732824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 IRONWOOD DR",
"city": "PROSPER",
"state": "TX",
"postal_code": "750785154",
"telephone_number": "352-999-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 LONG PRAIRIE RD STE 100",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750224232",
"telephone_number": "352-999-4866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DA SILVA",
"first_name": "FREDERICO",
"middle_name": "DUARTE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-15",
"last_updated": "2024-05-08",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "35707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.