Active NPI
Oscar Muniz Jr., DMD, MD
- Oral and Maxillofacial Surgery (Dentist)
- The Woodlands, TX
National Provider Identifier
1104987973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 20780
- Practice address
- 1 Waterway Ave
#2109
The Woodlands, TX 77380-3449 - Phone
- (936) 524-6028
- Fax
- (936) 524-6028
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2147 | PR | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 20780 | TX | Primary |
Addresses
Primary practice location
1 Waterway Ave
#2109
The Woodlands, TX 77380-3449
Mailing address
1 Waterway Ave
#2109
The Woodlands, TX 77380-3449
Phone (936) 524-6028
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150820009634 | TX | Order and Referring Only - Oral Surgery | 5698712156 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2147 | PR | MD | Clinical Psychologist |
| 20780 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1104987973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WATERWAY AVE",
"address_2": "#2109",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803449",
"telephone_number": "936-524-6028",
"fax_number": "936-524-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WATERWAY AVE",
"address_2": "#2109",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803449",
"telephone_number": "936-524-6028",
"fax_number": "936-524-6028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNIZ",
"first_name": "OSCAR",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PR",
"license": "2147",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "20780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.