Audrey Nicole Imperial, - Dentist in Jbsa - Lackland, TX

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Audrey Nicole Imperial, is a Dentist - General Practice based in Jbsa - Lackland, Texas. Audrey Nicole Imperial is licensed to practice in Arizona (license number D010674) and her current practice location is 59 Dg Af Postgraduate Dental School, 2133 Pepperrell St Bldg 3352, Jbsa - Lackland, Texas. She can be reached at her office (for appointments etc.) via phone at (210) 292-6258.

NPI number for Audrey Nicole Imperial is 1972137644 and her current mailing address is 1615 Truemper St, Lackland Afb, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972137644.

Contact Information

Audrey Nicole Imperial,
59 Dg Af Postgraduate Dental School, 2133 Pepperrell St Bldg 3352,
Jbsa - Lackland, TX 78236-5313
(210) 292-6258
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAudrey Nicole Imperial
GenderFemale
SpecialityDentist - General Practice
Location59 Dg Af Postgraduate Dental School, Jbsa - Lackland, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972137644
  • Provider Enumeration Date: 03/02/2020
  • Last Update Date: 07/22/2025

Medical Identifiers

Medical identifiers for Audrey Nicole Imperial such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972137644NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D010674 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audrey Nicole Imperial is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Audrey Nicole Imperial,
1615 Truemper St,
Lackland Afb, TX 78236-5511

Ph: () -		Audrey Nicole Imperial,
59 Dg Af Postgraduate Dental School, 2133 Pepperrell St Bldg 3352,
Jbsa - Lackland, TX 78236-5313

Ph: (210) 292-6258

Reviews and Comments


Dentist in Jbsa - Lackland, TX

Dr. Matthew T Moberg, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa - Lackland, TX 78236
Phone: 210-808-1111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.