Active NPI
Gloria Tijerina Torres, D.D.S.
- Prosthodontics
- Georgetown, TX
National Provider Identifier
1811937915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 16609
- Practice address
- 4402 Williams Drive
Suite # 104
Georgetown, TX 78628 - Phone
- (512) 240-4381
- NPI assigned
- Jun 7, 2006
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 16609 | TX | Primary |
Addresses
Primary practice location
4402 Williams Drive
Suite # 104
Georgetown, TX 78628
Mailing address
4402 Williams Drive
Suite # 104
Georgetown, TX 78628
Phone (512) 240-4381
Other names 1
- Ms. Gloria Leticia Tijerina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16609 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torres Dental Specialties PLLC | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1811937915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4402 WILLIAMS DRIVE",
"address_2": "SUITE # 104",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "78628",
"telephone_number": "512-240-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 WILLIAMS DRIVE",
"address_2": "SUITE # 104",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "78628",
"telephone_number": "512-240-4381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "GLORIA",
"middle_name": "TIJERINA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TX",
"license": "16609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "TIJERINA",
"middle_name": "LETICIA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.