Maldds

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11248 Issued in TX

Legal business name

MALDDS

Practice address

4877 Fredericksburg Rd
San Antonio, TX 78229-3627

Phone

(210) 342-8251

Fax

(210) 342-8257

NPI assigned

Aug 10, 2011

Organization subpart

No

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

Authorized official

Name

Sandy Parash

Title

Practice Manager

Phone

(210) 342-8251

Specialties & licenses 1

Addresses

Other names 1

• ELITE DENTAL Doing business as

Locations

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1700165503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4877 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293627",
            "telephone_number": "210-342-8251",
            "fax_number": "210-342-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4877 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293627",
            "telephone_number": "210-342-8251",
            "fax_number": "210-342-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALDDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "PARASH",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "210-342-8251"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malathi V. Koli M.D
• David Malave, M.D.
• David Ventura Malave, DMD
• Krishna Malaviya, DDS
• Ashley Elizabeth Malawey, IDMT
• Yolanda S Maldonado Alba, MD
• Maldonado Psychiatric Association
• Ana I. Maldonado-Buitrago, DMD
• Alejandra Elysa Maldonado, LPC
• Alyssa Maldonado

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, 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 Sep 12, 2012; 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.