Elsa Mammen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26358 Issued in TX

Practice address

7770 W Grand Pkwy S
Ste E
Richmond, TX 77406-5832

Phone

(281) 713-4990

NPI assigned

Oct 23, 2007

Last updated

Jun 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• CW Dental PLLC

  • General Practice Dentistry
  • Richmond, TX
  • NPI 1245087741
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1083803233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 W GRAND PKWY S",
            "address_2": "STE E",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065832",
            "telephone_number": "281-713-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 W GRAND PKWY S",
            "address_2": "STE E",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065832",
            "telephone_number": "281-713-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMEN",
        "first_name": "ELSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Malik, LPC
• Qasim Zulfiqar Malik
• Martine Malivers, RN
• Maluchi LLC
• Evelyn Tetang Mambo, NP
• Adriana Virginia Manthei, MSN, APRN, CPNP-AC
• Maple Care Hospice LLC
• Maple Ridge Living LLC
• Marabert Services LLC
• Marak-U-Lous, Company (Aci-Kare of Sugar Land)

• General Practice Dentistry in Richmond, TX
• Providers in Richmond, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.