Individual provider Active NPI

Domingo Valadez, DDS,MSD

  • Prosthodontics
  • McAllen, TX
National Provider Identifier
1952571150
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
16880 Issued in TX
Practice address
5529 N McColl Rd
McAllen, TX 78504-2244
Phone
(956) 630-2701
Fax
(956) 630-2703
NPI assigned
Mar 4, 2008
Last updated
Mar 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 16880 TX Primary
Prosthodontics 1223P0700X 16881 TX

Addresses

Primary practice location

5529 N McColl Rd
McAllen, TX 78504-2244

Mailing address

5529 N McColl Rd
McAllen, TX 78504-2244
Phone (956) 630-2701

Other names 1

  • Dr. Elena D. Valadez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000448 TX Practitioner - Maxillofacial Surgery 0446427132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16881TXMDProsthodontist
16880TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxillofacial Prosthetics & Implant Dentistry PC Prosthodontics CurrentSince Oct 1, 2011 Accepting new patients

Locations

5529 N McColl Rd
McAllen, TX 78504
Phone (956) 630-2701

5529 N McColl Rd
Ste A
McAllen, TX 78504
Phone (956) 627-3556

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": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1952571150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042244",
            "telephone_number": "956-630-2701",
            "fax_number": "956-630-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042244",
            "telephone_number": "956-630-2701",
            "fax_number": "956-630-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALADEZ",
        "first_name": "DOMINGO",
        "name_prefix": "Dr.",
        "credential": "DDS,MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "16880",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "16881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "VALADEZ",
            "middle_name": "D.",
            "prefix": "DR.",
            "credential": "DDS,MSD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.