Individual provider Active NPI

Teresita E Ladrillo, DMD MPH

  • Dentist
  • Houston, TX
National Provider Identifier
1871762039
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23164 Issued in TX
Practice address
1809 N Main St
Houston, TX 77009
Phone
(713) 547-8079
Fax
(713) 547-8130
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23164 TX Primary

Addresses

Primary practice location

1809 N Main St
Houston, TX 77009

Mailing address

PO Box 88361
City of Houston Health & Human Services
Houston, TX 77288-8861
Phone (713) 794-9104

Other names 1

  • Dr. Tess E Ladrillo Other name

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

LicenseStateTypeSpecialty
23164TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1871762039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88361",
            "address_2": "CITY OF HOUSTON HEALTH & HUMAN SERVICES",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772888861",
            "telephone_number": "713-794-9104",
            "fax_number": "713-798-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 N MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77009",
            "telephone_number": "713-547-8079",
            "fax_number": "713-547-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADRILLO",
        "first_name": "TERESITA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESS",
            "last_name": "LADRILLO",
            "middle_name": "E",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.