Active NPI
Maged Moheb Shokralla
- Dentist
- Alvin, TX
National Provider Identifier
1265945703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33612
- Practice address
- 173 Tovrea Rd
Alvin, TX 77511-2963 - Phone
- (281) 824-4270
- NPI assigned
- Nov 7, 2017
- Last updated
- Nov 7, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 33612 | TX | Primary |
Addresses
Primary practice location
173 Tovrea Rd
Alvin, TX 77511-2963
Mailing address
173 Tovrea Rd
Alvin, TX 77511-2963
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logos Dental, PLLC | Dentist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Houston, TX
- NPI 1003700154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1265945703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 TOVREA RD",
"city": "ALVIN",
"state": "TX",
"postal_code": "775112963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 TOVREA RD",
"city": "ALVIN",
"state": "TX",
"postal_code": "775112963",
"telephone_number": "281-824-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOKRALLA",
"first_name": "MAGED",
"middle_name": "MOHEB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alvin, TX
- Senior Connections of Texas PLLC
- Serenity Health Care Staffing
- Kimberly Jeanette Serrano
- Priyanka Shah-Modi, DDS
- Aimee Shelton
- Abuzar Arshi Siddiqui, BDS,MPH
- Stacy Diane Sikes, LPC
- Courtney Nicole Simmons-Matthews, APRN, CNP
- Jimmie Sue Siptak, MS, LPC
- SLD Counseling Services, PLLC (Shannon L Deitch)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.