Individual provider Active NPI

Marcela Maria Flores Amador, DDS

  • Dentist
  • Goldsboro, MD
National Provider Identifier
1760970636
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
LL881 Issued in MD
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505001492 MD Order and Referring Only - DentistPractitioner - Dentist 2062821952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: 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

Sources for this page

Verify at the official NPI Registry.