Preston Matthew Padua

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

807894 Issued in TX

Practice address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone

(214) 908-2428

Fax

(972) 710-4291

NPI assigned

Aug 18, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1679450233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 WINSTON DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750773739",
            "telephone_number": "214-908-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-908-2428",
            "fax_number": "972-710-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADUA",
        "first_name": "PRESTON",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "807894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ram Padmanabhan, M.D.
• Padron Wellness Clinic PLLC
• Angeles Khrystal Padron, ACNPC-AG
• Morgan Padron
• Padua Health, Inc
• Josh Paek, D.C.
• So Yeon Paek, M.D.
• Solji Jung Paek, DDS
• Hannah May Pafford, COTA
• Mangesh Rajaram Pagadala, M.D.

• Registered Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.