Nicholas Cantu
Individual provider Active NPI General Practice Dentistry · Roma, TX
NPI 1871293969 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1871293969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 41661 (TX)
- Practice address
- 1505 N Grant St
Roma, TX 78584-5426 - Phone
- (956) 487-4746
- NPI assigned
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41661 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | |||
| General Practice Dentistry | 1223G0001X | 41661 | TX | Yes |
Addresses
Primary practice location
1505 N Grant St
Roma, TX 78584-5426
Mailing address
910 N FM Rd 3167
Rio Grande City, TX 78582
Other providers in Roma, TX
- BFG Laboratory Services, LLC
- Bluebonnet Durable Medical Equipment & Supplies LLC
- Bounce Back Therapy PLLC
- Jose Antonio Cadena
- Cindy Canales
- Caridad Healthcare Inc
- Caridad Healthcare Inc
- Caring Services Unlimited
- Community Action Council of South Texas
- Sylvia Isabel Contreras
All providers in Roma, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.