Andreina Cordido Enriquez, DDS MS PROSTHODONTIS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

33808 Issued in TX

Practice address

7709 San Jacinto PL Ste 200
Plano, TX 75024-3407

Phone

(469) 466-2371

NPI assigned

Mar 26, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1841795598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 SAN JACINTO PL STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243407",
            "telephone_number": "469-466-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 SAN JACINTO PL STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243407",
            "telephone_number": "469-466-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3302 Gaston Ave Rm 169",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462013",
            "country_code": "US",
            "telephone_number": "214-828-8990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDIDO ENRIQUEZ",
        "first_name": "ANDREINA",
        "credential": "DDS MS PROSTHODONTIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "33808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coppell Spine & Sports Rehab Limited Partnership
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• Edward Reed Corbett, M.D
• Frances Cordell, LPC
• Lauren Cordell, APRN
• Casandra Lee Cordova, BSN, RN
• Core Anesthesia Management LLC
• Core Anesthesia Partners PLLC
• Corevia Supplies LLC
• Corewellness, LLC

• Prosthodontics in Plano, TX
• Providers in Plano, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.