Active NPI
Anna M Munne, M.D., D.D.S., M.S.
- Periodontics
- Houston, TX
National Provider Identifier
1164686382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 17959
- Practice address
- 4817 Main St
200
Houston, TX 77002-9700 - Phone
- (713) 795-4666
- Fax
- (713) 795-5514
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 17959 | TX | Primary |
Addresses
Primary practice location
4817 Main St
200
Houston, TX 77002-9700
Mailing address
4817 Main St
200
Houston, TX 77002-9700
Phone (713) 795-4666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17959 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shimmer Dental PLLC | Current | Accepting new patients | |
| Anna M. Munne, D.D.S., P.a. | Periodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Houston, TX
- NPI 1801596838
-
- Periodontics
- Houston, TX
- NPI 1669647335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1164686382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4817 MAIN ST",
"address_2": "200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770029700",
"telephone_number": "713-795-4666",
"fax_number": "713-795-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4817 MAIN ST",
"address_2": "200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770029700",
"telephone_number": "713-795-4666",
"fax_number": "713-795-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNNE",
"first_name": "ANNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D., D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "17959",
"primary": true
}
],
"identifiers": [],
"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 Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.