Fabiola Mercado, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40493 Issued in TX

Practice address

5441 Alpha Rd Ste 106
Dallas, TX 75240-2550

Phone

(972) 798-2644

NPI assigned

Mar 31, 2023

Sex

Female

Sole proprietor

No

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

State licenses

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.

• Burst Dental Alpha PLLC

  • Dentist
  • Dallas, TX
  • NPI 1518793090
  NPD

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1972208841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 GALVA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433706",
            "telephone_number": "972-922-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 ALPHA RD STE 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752402550",
            "telephone_number": "972-798-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "FABIOLA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Menzer, M.D.
• April Rebecca Meras, FNP-C
• Anthony Ithzak Meraz, CRNA
• Alicia Mercado Garcia
• Cristina Lizbeth Mercado, MSN, APRN
• Isaias Mercado Jr., RECREATION THERAPIST
• Jennifer Marie Mercado, RN
• Suley Anais Mercado, SLP-ASSISTANT
• Ana M Mercau, MD
• Mercedes in Home Care Agency, L.L.C

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.