Marie Padua, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29996 Issued in TX

Practice address

2616 Long Prairie Rd Ste 105
Flower Mound, TX 75022-4982

Phone

(972) 899-3499

NPI assigned

May 29, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ideal Dental of Flower Mound, PC

  • General Practice Dentistry
  • Flower Mound, TX
  • NPI 1992096952
  NPD (past)

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1720490444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 LONG PRAIRIE RD STE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224982",
            "telephone_number": "972-899-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 LONG PRAIRIE RD STE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224982",
            "telephone_number": "972-899-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADUA",
        "first_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Lady of Good Counsel, LLC
• Oval Dental PLLC
• Tracie J Owens, MS, LPC
• Emily Brianne Pacheco
• Padma Munukuti, M.D,P.a.
• Dongchul Paek, D.O.
• Spencer Page, DDS
• Palmercare Chiropractic Flower Mound LLC
• Hailey Makae Palumbo, MS
• Abhilasha Khattri Pamarti, CGC

• General Practice Dentistry in Flower Mound, TX
• Providers in Flower Mound, 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 May 4, 2015; 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.