Music City Mall Dental Practice, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MUSIC CITY MALL DENTAL PRACTICE, P.C.

Practice address

4101 E 42ND St # B-23
Odessa, TX 79762-7239

Phone

(432) 363-4867

Fax

(432) 363-1799

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Jennifer Owens

Title

Manager

Phone

(432) 520-4867

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1265737910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 E 42ND ST # B-23",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627239",
            "telephone_number": "432-363-4867",
            "fax_number": "432-363-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 E 42ND ST # B-23",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627239",
            "telephone_number": "432-363-4867",
            "fax_number": "432-363-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSIC CITY MALL DENTAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "432-520-4867"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arturo Munoz, PHARMD
• Christina Huertas Munoz, LPC
• Rick Munoz, OD
• Megan Murphy
• Amanda Marie Murray, D.O.
• Taylor Musick, CCC SLP
• Angela Renee Myers, LCDC
• Cody Mygrant, PA
• Sahar Nadimi, DDS
• Sumaira Naeem

• General Practice Dentistry in Odessa, TX
• Providers in Odessa, 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 Jan 11, 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.