Organization Active NPI

DRS Mardaga and Eshelman Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tomball, TX
National Provider Identifier
1336448281
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13453 Issued in TX
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

Updated by the provider on Mar 17, 2011

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 13453 TX Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.