Taoufik Faddoul, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29539 Issued in TX

Practice address

14015 Jubilee Way
Helotes, TX 78023-3668

Phone

(661) 808-0181

NPI assigned

Oct 22, 2013

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TLG Dental Group

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1376370791
  NPD Authorized official

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1710315122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 JUBILEE WAY",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233668",
            "telephone_number": "661-808-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 JUBILEE WAY",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233668",
            "telephone_number": "661-808-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADDOUL",
        "first_name": "TAOUFIK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Nicole Elias
• Doyinsola O Eminowa
• Jennifer Marie Escamilla
• Lily Escobedo
• Obiageli Charity Ezekwesili, FNP-C
• Lisa Ann Farias, LPC
• Aracely I Ferrer, MD
• Voltaire Gimena Ferrer, AGACNP, ACNPC-AG
• Cheryl Dawn Fitzgerald, LCSW
• Alyssa Flores

• General Practice Dentistry in Helotes, TX
• Providers in Helotes, 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 Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.