Mary Dutta, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT87871 Issued in TX

Practice address

9415 Broadway St Ste 121
Pearland, TX 77584-8094

Phone

(832) 691-9906

Fax

(346) 502-3585

NPI assigned

Jul 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• American Health Assessments LLC

  • Registered Dietitian
  • Denton, TX
  • NPI 1497027098

  Dietitian, Registered

  Medicare reassignment NPD
• Mobile Medical Consultants, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1346839859
  NPD (past)

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1326772187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 PEBBLE BEACH LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847108",
            "telephone_number": "832-691-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 BROADWAY ST STE 121",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848094",
            "telephone_number": "832-691-9906",
            "fax_number": "346-502-3585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Pebble Beach Ln",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847108",
            "country_code": "US",
            "telephone_number": "832-691-9906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTTA",
        "first_name": "MARY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Vella Durand Sanchez, M.D.
• Toi M Durham, DNP, PMHNP
• Obiageli Durousseau
• Khadija Durrani
• Kimberly Durst, APRN-CNP
• Dva Healthcare Renal Care Inc
• Abigail Adanneya Dyboh
• James Dykes
• Dynamic Arthritis Care Clinic PLLC
• Dynamic Rehabilitation Services, LLC

• Registered Dietitian in Pearland, TX
• Providers in Pearland, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.