Active NPI
DRS Mardaga and Eshelman Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tomball, TX
National Provider Identifier
1336448281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 13453
- Legal business name
- DRS MARDAGA AND ESHELMAN ORTHODONTICS
- Practice address
- 1017 W Main St
Tomball, TX 77375-5525 - Phone
- (281) 255-4746
- Fax
- (281) 255-4706
- NPI assigned
- Mar 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michel B Eshelman, DDS,PC
- Title
- President
- Phone
- (281) 255-4746
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 13453 | TX | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10990 | TX |
Addresses
Primary practice location
1017 W Main St
Tomball, TX 77375-5525
Mailing address
1017 W Main St
Tomball, TX 77375-5525
Phone (281) 255-4746
National Provider Directory
National Provider DirectoryLocations
1017 W Main St
Tomball, TX 77375
Phone (281) 255-4746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300320000000",
"number": "1336448281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 W MAIN ST",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773755525",
"telephone_number": "281-255-4746",
"fax_number": "281-255-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 W MAIN ST",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773755525",
"telephone_number": "281-255-4746",
"fax_number": "281-255-4706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS MARDAGA AND ESHELMAN ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A",
"authorized_official_last_name": "ESHELMAN",
"authorized_official_first_name": "MICHEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-255-4746",
"authorized_official_credential": "DDS,PC"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "13453",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "10990",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.