Active NPI
Calvina Cyprian Sequeira
- Dentist
- New Braunfels, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33715
- Practice address
- 161 Creekside Way Ste 102
New Braunfels, TX 78130-6391 - Phone
- (888) 988-4066
- NPI assigned
- Jan 23, 2018
- Last updated
- Oct 14, 2020
- 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 | 33715 | TX | Primary |
Addresses
Primary practice location
161 Creekside Way Ste 102
New Braunfels, TX 78130-6391
Mailing address
21519 Tomball Pkwy Ste H
Houston, TX 77070-1647
Other practice location 1
1365 Barrow St
Abilene, TX 79605-5171
Phone (888) 988-4066
Other practice location 2
4654 Highway 6 N Ste 401
Houston, TX 77084-2880
Phone (281) 509-9194
Other practice location 3
21519 Tomball Pkwy Ste H
Houston, TX 77070-1647
Phone (281) 376-4848
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180221000965 | TX | Order and Referring Only - Dentist | 5890056535 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familia Dental NB PLLC | Current | Accepting new patients | |
| Familia Dental Abilene PLLC | Past | Accepting new patients |
Locations
161 Creekside Way
Ste 102
New Braunfels, TX 78130
Phone (830) 632-6369
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1760980999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21519 TOMBALL PKWY STE H",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 CREEKSIDE WAY STE 102",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781306391",
"telephone_number": "888-988-4066"
}
],
"practiceLocations": [
{
"address_1": "1365 Barrow St",
"address_purpose": "LOCATION",
"city": "Abilene",
"state": "TX",
"postal_code": "796055171",
"country_code": "US",
"telephone_number": "888-988-4066",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4654 Highway 6 N Ste 401",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770842880",
"country_code": "US",
"telephone_number": "281-509-9194",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21519 Tomball Pkwy Ste H",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770701647",
"country_code": "US",
"telephone_number": "281-376-4848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEQUEIRA",
"first_name": "CALVINA",
"middle_name": "CYPRIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
- Select Physical Therapy Texas Limited Partnership (Select Physical Therapy)
- Kristen Self, DDS
- Cheryl Stasny Sellers, D.D.S.
- Senior Path Specialists
- Richard William Senyszyn, M.D.
- Alison Setser, RD,LD
- Jeffrey Stephen Seward, M.D.
- Tommie Lynn Seymore-Joly, PA-C
- Anne C Shackelford, FNP
- Colleen Shadburne
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.