Individual provider Active NPI

Calvina Cyprian Sequeira

  • Dentist
  • New Braunfels, TX
National Provider Identifier
1760980999
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33715 Issued in TX
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180221000965 TX Order and Referring Only - DentistPractitioner - Dentist 5890056535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Familia Dental NB PLLC CurrentSince Jun 27, 2021 Accepting new patients
Familia Dental Abilene PLLC PastSince Jun 27, 2021 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

Sources for this page

Verify at the official NPI Registry.