Mgmdds

Primary specialty

DentistTaxonomy code 122300000X

License

17826 Issued in TX

Legal business name

MGMDDS

Practice address

13810 John Audubon Pkwy Ste a
Webster, TX 77598-3862

Phone

(281) 486-9222

Fax

(281) 486-8700

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Michael G Moore, D.D.S.NPI 1780733907

Title

Owner/Dentist

Phone

(281) 486-9222

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Gerald Moore, DDS

  • Dentist
  • Webster, TX
  • NPI 1780733907
  NPD (past) Authorized official
• Teresa Ladner, DDS

  • Dentist
  • Webster, TX
  • NPI 1700026770
  NPD (past)
• Andrew G Moore, D.D.S

  • Dentist
  • Houston, TX
  • NPI 1922621309
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1093948044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 JOHN AUDUBON PKWY STE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983862",
            "telephone_number": "281-486-9222",
            "fax_number": "281-486-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 JOHN AUDUBON PKWY STE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983862",
            "telephone_number": "281-486-9222",
            "fax_number": "281-486-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGMDDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "281-486-9222",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "17826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Helen Merritt, PA-C
• Inga Cicenaite Merz, NP
• Alexander Jordan Metoxen, M.D.
• Janet Elizabeth Metts, FNP-C
• Catherine Ijeoma Mgbodu, MSN MHA FNP-C, FNP-B
• Mia Mio Inc
• Michael J Rosenblatt MD and Kathryn a Zidek MD PA
• Michael S Gorback MD PA
• Justyna M Michalik, MD
• Michele Blackwell MD PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.