Michael W Fuqua DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16265 Issued in TX

Legal business name

MICHAEL W FUQUA DDS

Doing business as

Advanced Dental Associates

Practice address

2202 S 77 Sunshine Strip
Ste B
Harlingen, TX 78550

Phone

(956) 425-7474

Fax

(956) 425-3555

NPI assigned

Oct 16, 2006

Last updated

Aug 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael W Fuqua, DDSNPI 1972681914

Title

Owner

Phone

(956) 425-7474

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Dental Associates Doing business as

Tax ID family

Advanced Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael W Fuqua DDS

  • General Practice Dentistry
  • Weslaco, TX
  • NPI 1861572950
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael W Fuqua, DDS

  • General Practice Dentistry
  • Harlingen, TX
  • NPI 1972681914
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1669552758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 S 77 SUNSHINE STRIP",
            "address_2": "STE B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-425-7474",
            "fax_number": "956-425-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S 77 SUNSHINE STRIP",
            "address_2": "STE B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-425-7474",
            "fax_number": "956-425-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W FUQUA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "FUQUA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-425-7474",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120848003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHYOS",
            "identifier": "1626501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metx, LLC
• Brenda Lee Meza, FNP
• Fausto Santiago Meza, MD MPA
• Mayra Andreina Mezzoni Poleo, MD
• Michael J Finger, M.D., P.a.
• Miguel Cintron, M.D., P.a.
• Miguel Oneto, MD, PA
• Charles F Mild, MD
• Mariana Millan, LVN
• Aleena Miller, PHARMD, RPH

• General Practice Dentistry in Harlingen, TX
• Providers in Harlingen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.