Active NPI
Marcela Maria Flores Amador, DDS
- Dentist
- Goldsboro, MD
National Provider Identifier
1760970636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- LL881
- Practice address
- 316 Railroad Ave
Goldsboro, MD 21636-1126 - Phone
- (410) 482-2224
- Fax
- (410) 482-2511
- NPI assigned
- Apr 26, 2018
- Last updated
- Apr 27, 2021
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | LL881 | MD | Primary |
Addresses
Primary practice location
316 Railroad Ave
Goldsboro, MD 21636-1126
Mailing address
316 Railroad Ave
Goldsboro, MD 21636-1126
Phone (410) 482-2224
Other practice location 1
625 Elmwood Ave # 683
Rochester, NY 14620-2913
Phone (585) 275-8315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210505001492 | MD | Order and Referring Only - Dentist | 2062821952 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- marcela.flores.amador.1@20853.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1760970636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 RAILROAD AVE",
"city": "GOLDSBORO",
"state": "MD",
"postal_code": "216361126",
"telephone_number": "410-482-2224",
"fax_number": "410-482-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 RAILROAD AVE",
"city": "GOLDSBORO",
"state": "MD",
"postal_code": "216361126",
"telephone_number": "410-482-2224",
"fax_number": "410-482-2511"
}
],
"practiceLocations": [
{
"address_1": "625 Elmwood Ave # 683",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146202913",
"country_code": "US",
"telephone_number": "585-275-8315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES AMADOR",
"first_name": "MARCELA",
"middle_name": "MARIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-26",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "LL881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, MD
- Choptank Community Health System, Inc. (Goldsboro Medical Center)
- Choptank Community Health System, Inc. (Goldsboro Dental Center)
- Jessica Dawn Clough, RDH
- Bonnie L Dove, RDH
- Thomas Griffith Duncan Jr., DDS
- Lindsay Michelle Freedman, DDS
- Raenelle Lynn Griffin, PA-C
- Eric Hermansen, MD
- Gregory A Holmes, M.D.
- Patricia Jean Karnes-Amzibel, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.