Maxillofacial Prosthetics & Implant Dentistry PC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

16880 Issued in TX

Legal business name

MAXILLOFACIAL PROSTHETICS & IMPLANT DENTISTRY PC

Practice address

5529 N McColl Rd
McAllen, TX 78504-2244

Phone

(956) 630-2702

Fax

(956) 630-2703

NPI assigned

Oct 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Domingo Valadez, DDS MSDNPI 1952571150

Title

DDS MSD

Phone

(956) 630-2702

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Domingo Valadez, DDS,MSD

  • Prosthodontics
  • McAllen, TX
  • NPI 1952571150
  Medicare reassignment NPD Authorized official
• Elena Valadez

  • Prosthodontics
  • McAllen, TX
  • NPI 1346573888
  NPD (past)

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1689827933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042244",
            "telephone_number": "956-630-2702",
            "fax_number": "956-630-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042244",
            "telephone_number": "956-630-2702",
            "fax_number": "956-630-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXILLOFACIAL PROSTHETICS & IMPLANT DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "VALADEZ",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_title_or_position": "DDS MSD",
        "authorized_official_telephone_number": "956-630-2702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "16880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liji Ann Mathew, NP
• Deanna Lee Mathisen, DMD
• Nikhil Mathur, MD, MBA, MHA
• Matisse Investment Group, LLC (Circo Pediatric Rehabilitation Specialists)
• Catherine Paola Matos Munoz
• May H. Zamuco, MD, PA
• Maya Home Health Inc
• Charles P Mayer, CRNA
• Curtis Maynard, MD
• Mayra Sanchez Counseling Services Inc.

• Prosthodontics in McAllen, TX
• Providers in McAllen, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.