Mary Ann Grace Sagullo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

20093 Issued in TX

Practice address

1445 N Loop West
Suite 1000
Houston, TX 77008

Phone

(713) 861-3231

Fax

(713) 426-1720

NPI assigned

Apr 18, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert C Gohlke DDS Inc

  • Dentist
  • Houston, TX
  • NPI 1003037243
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114143104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22235 RUSSELL DRIVE",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "77357",
            "telephone_number": "281-689-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N LOOP WEST",
            "address_2": "SUITE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77008",
            "telephone_number": "713-861-3231",
            "fax_number": "713-426-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGULLO",
        "first_name": "MARY ANN",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sagis, PLLC
• Oded Sagiv, M.D.
• Mavi Sagnak
• Sagrada Familia Sanctuary
• Sagres Health PLLC
• Vivek Kumar Sah, MD
• Ram K Saha, M.D
• Sharmistha Saha, MD
• Suparna Saha, MD
• Sahab Health Care Services,L.L.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.