Individual provider Active NPI

Rosecler Catuzzo Marmentini, DDS, MSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Webster, TX
National Provider Identifier
1306992789
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20275 Issued in TX
Practice address
1249 W Bay Area Blvd
Webster, TX 77598-3832
Phone
(281) 332-6206
NPI assigned
Jan 26, 2007
Last updated
Dec 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 20275 TX Primary

Addresses

Primary practice location

1249 W Bay Area Blvd
Webster, TX 77598-3832

Mailing address

1235 W Bay Area Blvd
Webster, TX 77598-3832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719000925 TX Order and Referring Only - DentistPractitioner - Dentist 3971963109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20275TXMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450915200000",
    "number": "1306992789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 W BAY AREA BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 W BAY AREA BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983832",
            "telephone_number": "281-332-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMENTINI",
        "first_name": "ROSECLER",
        "middle_name": "CATUZZO",
        "name_prefix": "Dr.",
        "credential": "DDS, MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "20275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.