Active NPI
Marii Malagayo, DDS
- Dentist
- San Antonio, TX
National Provider Identifier
1265954705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32649
- Practice address
- 12055 Vance Jackson Rd # 103
San Antonio, TX 78230-6058 - Phone
- (210) 529-8089
- NPI assigned
- Jul 15, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 32649 | TX | Primary |
Addresses
Primary practice location
12055 Vance Jackson Rd # 103
San Antonio, TX 78230-6058
Mailing address
10422 Huebner Rd Apt 2602
San Antonio, TX 78240-1392
Phone (806) 782-5379
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32649 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mint & Molar PLLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500076800000",
"number": "1265954705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10422 HUEBNER RD APT 2602",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401392",
"telephone_number": "806-782-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12055 VANCE JACKSON RD # 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782306058",
"telephone_number": "210-529-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAGAYO",
"first_name": "MARII",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-15",
"last_updated": "2017-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "32649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.