Maria Nivedita Jouvita Fernandes-Morais, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21650 Issued in TX

Practice address

2900 Hill View Drive
Grapevine, TX 76051-6589

Phone

(817) 681-7680

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1720209596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HILL VIEW DRIVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516589",
            "telephone_number": "817-681-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HILL VIEW DRIVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516589",
            "telephone_number": "817-681-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES-MORAIS",
        "first_name": "MARIA",
        "middle_name": "NIVEDITA JOUVITA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1645590-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1645590-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1645590-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Fazeli, DO
• Richard J. Feingold, D.O.
• Leah Marie Fennema, MS, BCBA
• Julie Renee Ference, PHARMD
• Kelly Lynn Ferguson, AGACNP
• John S Ferris, MD
• FG Capital PLLC
• Humberto Figueroa Perez, DC
• Barry Alan Firstenberg, DO
• Firstline Home Healthcare Inc

• General Practice Dentistry in Grapevine, TX
• Providers in Grapevine, 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 Apr 6, 2011; 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.