Organization Active NPI

Magico Dental PLLC

  • Dentist
  • Houston, TX
National Provider Identifier
1124511365
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MAGICO DENTAL PLLC
Practice address
5803 Lyons Ave
Houston, TX 77020-4833
Phone
(281) 974-3996
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Miss Neli Guevara
Title
Billing Director
Phone
(281) 974-3996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5803 Lyons Ave
Houston, TX 77020-4833

Mailing address

900 S Wayside Dr Ste 100
Houston, TX 77023-3418
Phone (832) 203-7968

Other identifiers 1

IdentifierTypeStateIssuer
34745052OtherTXDRIVERS LICENSE

National Provider Directory

National Provider Directory

Locations

5803 Lyons Ave
Houston, TX 77020
Phone (281) 974-3996

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1124511365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S WAYSIDE DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233418",
            "telephone_number": "832-203-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 LYONS AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770204833",
            "telephone_number": "281-974-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGICO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "NELI",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "281-974-3996",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "34745052",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.