Miguel Padilla, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

63257 Issued in CA

Practice address

1404 Mitchell Rd
Modesto, CA 95351-4901

Phone

(209) 537-7878

NPI assigned

Feb 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Padilla Pediatric Dental Practice, Inc

  • Dental Clinic/Center
  • Escalon, CA
  • NPI 1376309856
  NPD Authorized official
• Satyen Desai Dental Corporation

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1992054308
  NPD (past)

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1922422070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 ELM AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953581626",
            "telephone_number": "209-765-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 MITCHELL RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514901",
            "telephone_number": "209-537-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "MIGUEL",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63257",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "63257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franky Danugrao Padilla
• Gustavo Padilla
• Ilce Padilla
• John Paul Paul Padilla
• Luis Alonso Padilla
• Robert Padilla, M.D.
• Tyanna Padilla
• Gary J Padovani, MD
• Areli Marari Padron Sanchez
• Diego Paez Cardenas

• Pediatric Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.