Individual provider Active NPI

Merina Joseph, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1063256907
Registry record updated Nov 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42144 Issued in TX
Practice address
5406 Airline Dr Unit F
Houston, TX 77076-4949
Phone
(713) 800-3900
Fax
(346) 326-7221
NPI assigned
Jun 25, 2024
Last updated
Nov 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42144 TX Primary

Addresses

Primary practice location

5406 Airline Dr Unit F
Houston, TX 77076-4949

Mailing address

5406 Airline Dr Unit F
Houston, TX 77076-4949
Phone (713) 800-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724003403 MO Order and Referring Only - DentistPractitioner - Dentist 2466969522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024021082MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Sharifian DDS Parkville Modern Dentistry, PC PastSince Jun 30, 2024 Accepting new patients

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": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1794009600000",
    "number": "1063256907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 AIRLINE DR UNIT F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764949",
            "telephone_number": "713-800-3900",
            "fax_number": "346-326-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 AIRLINE DR UNIT F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764949",
            "telephone_number": "713-800-3900",
            "fax_number": "346-326-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MERINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-11-07",
        "certification_date": "2026-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.