Individual provider Active NPI

Oscar Muniz Jr., DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • The Woodlands, TX
National Provider Identifier
1104987973
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20780 Issued in TX
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

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820009634 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5698712156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2147PRMDClinical Psychologist
20780TXMDOral 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

Verify at the official NPI Registry.