Active NPI
Family Dentistry of Houston PC
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1013323435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FAMILY DENTISTRY OF HOUSTON PC
- Practice address
- 13145 Veterans Memorial Dr
Houston, TX 77014-1903 - Phone
- (281) 580-4830
- Fax
- (855) 313-5067
- NPI assigned
- Jul 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carmen Marmol
- Title
- Office Manager
- Phone
- (281) 580-4830
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25663 | TX | |
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
13145 Veterans Memorial Dr
Houston, TX 77014-1903
Mailing address
13145 Veterans Memorial Dr
Houston, TX 77014-1903
Phone (281) 580-4830
Other practice location 1
12790 Veterans Memorial Dr
Houston, TX 77014-2048
Phone (281) 580-4830
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350318702 | Medicaid | TX | |
| 350318701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
13145 Veterans Memorial Dr
Houston, TX 77014
Phone (281) 580-4830
12790 Veterans Memorial Dr
Houston, TX 77014
Phone (281) 580-7620
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Houston, TX
- NPI 1669787248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661472000000",
"number": "1013323435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13145 VETERANS MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770141903",
"telephone_number": "281-580-4830",
"fax_number": "855-313-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13145 VETERANS MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770141903",
"telephone_number": "281-580-4830",
"fax_number": "855-313-5067"
}
],
"practiceLocations": [
{
"address_1": "12790 Veterans Memorial Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770142048",
"country_code": "US",
"telephone_number": "281-580-4830",
"fax_number": "855-313-5067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILY DENTISTRY OF HOUSTON PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-07",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A",
"authorized_official_last_name": "MARMOL",
"authorized_official_first_name": "CARMEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "281-580-4830"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25663",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350318702",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350318701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Family Care Medical Clinic
- Family Christian Counseling Center Inc
- Family Christian Counseling Center Inc. (Gary R. Lynn, M.Ed., LPC, NCC)
- Family Circle Behavioral Wellness Center
- Family Dental Center Inc (Rosario D Garza)
- Family DME Inc
- Family Dynamics Counseling Center
- Family Empowerment Services
- Family Enrichment Clinic
- Family Enrichment Clinic LTD Co
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.