Irena Maredia, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

31021 Issued in TX

Practice address

235 Minonite Rd Ste 100
Rosenberg, TX 77469

Phone

(832) 757-1009

NPI assigned

Jul 25, 2015

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maredia Dental Group

  dba ethos family dentistry

  • Dentist
  • Rosenberg, TX
  • NPI 1417718701
  NPD Authorized official

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

{
    "created_epoch": "1437782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1811372303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MINONITE RD STE 100",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "832-757-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MINONITE RD STE 100",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "832-757-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREDIA",
        "first_name": "IRENA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-25",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Made Ya Smile Rosenberg PLLC
• Henry Madufur
• Becky Lynn Mahalec, OTR
• Tiffany A Malcolm, RN, CD
• Maredia Dental Group (ethos family dentistry)
• Virginia Marin
• Andrea Marmolejodeleon, RBT
• Alyssa Marie Martin - Hakim, M.A., BCBA
• Dayana Martinez Chao, APRN-CNP
• Arianna Martinez, RBT

• Dentist in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.

Verify at the official NPI Registry.