Active NPI
Anisa A. Maredia, DDS
- General Practice Dentistry
- Richmond, TX
National Provider Identifier
1871033928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33920
- Practice address
- 10505 West Grand Parkway South
Suite 150
Richmond, TX 77407-4328 - Phone
- (832) 612-2829
- Fax
- (832) 612-2830
- NPI assigned
- Mar 7, 2017
- Last updated
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33920 | TX | Primary |
Addresses
Primary practice location
10505 West Grand Parkway South
Suite 150
Richmond, TX 77407-4328
Mailing address
10505 West Grand Parkway South
Suite 150
Richmond, TX 77407-4328
Phone (832) 612-2829
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 |
|---|---|---|---|
| 33920 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Dental at Aliana, PLLC | Current | Accepting new patients |
Locations
10505 W Grand Pkwy S
Ste 150
Richmond, TX 77407
Phone (832) 612-2829
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, 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": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1871033928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 WEST GRAND PARKWAY SOUTH",
"address_2": "SUITE 150",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774074328",
"telephone_number": "832-612-2829",
"fax_number": "832-612-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10505 WEST GRAND PARKWAY SOUTH",
"address_2": "SUITE 150",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774074328",
"telephone_number": "832-612-2829",
"fax_number": "832-612-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAREDIA",
"first_name": "ANISA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2021-11-11",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.