Active NPI
Samira M Toloue, DDS, MSD
- Periodontics
- Cedar Park, TX
National Provider Identifier
1720344823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 27440
- Practice address
- 209 Denali Pass
Ste a
Cedar Park, TX 78613-7499 - Phone
- (512) 528-1400
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 27440 | TX | Primary |
Addresses
Primary practice location
209 Denali Pass
Ste a
Cedar Park, TX 78613-7499
Mailing address
209 Denali Pass
Ste a
Cedar Park, TX 78613-7499
Phone (512) 528-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27440 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Park Periodontics, PC | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- Cedar Park, TX
- NPI 1295939759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1720344823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 DENALI PASS",
"address_2": "STE A",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137499",
"telephone_number": "512-528-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 DENALI PASS",
"address_2": "STE A",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137499",
"telephone_number": "512-528-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLOUE",
"first_name": "SAMIRA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "27440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.