Magruder

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25665 Issued in TX

Legal business name

MAGRUDER

Practice address

3314 Avenue O
Galveston, TX 77550-6712

Phone

(409) 762-4522

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Jeremy Magruder, DDS

Title

Owner

Phone

(409) 762-4522

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard V. Krumholz, DDS

  • Dentist
  • Galveston, TX
  • NPI 1831397272
  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1164801544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 AVENUE O",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775506712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 AVENUE O",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775506712",
            "telephone_number": "409-762-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGRUDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "MAGRUDER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-762-4522",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25665",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Macgregor, MD
• Courtney Kathryn Mack, MD
• Niyata Madhukar, DO
• Rashmi Manjunath Maganti, MD
• Navid Maghareh, DMD
• Kush Maheshwari
• Brian Henry Mahon, MD
• Duc Mai, D.O.
• Kathy Quynh Mai, RN, MSN, AGPCNP-C
• Steven Luong Mai, DO

• General Practice Dentistry in Galveston, TX
• Providers in Galveston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.