Individual provider Active NPI

Anna M Munne, M.D., D.D.S., M.S.

  • Periodontics
  • Houston, TX
National Provider Identifier
1164686382
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
17959 Issued in TX
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

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
17959TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.