Organization Active NPI

La Marque Family Dentistry PLLC.

  • General Practice Dentistry
  • La Marque, TX
National Provider Identifier
1336808450
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LA MARQUE FAMILY DENTISTRY PLLC.
Practice address
418 Bayou Rd
La Marque, TX 77568-4135
Phone
(409) 938-7476
Fax
(855) 975-2775
NPI assigned
Dec 16, 2021
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Angelica Gomez
Title
Manager
Phone
(409) 938-7476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

418 Bayou Rd
La Marque, TX 77568-4135

Mailing address

418 Bayou Rd
La Marque, TX 77568-4135
Phone (409) 938-7476

National Provider Directory

National Provider Directory

Locations

418 Bayou Rd
La Marque, TX 77568
Phone (409) 938-7476

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1336808450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BAYOU RD",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775684135",
            "telephone_number": "409-938-7476",
            "fax_number": "855-975-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BAYOU RD",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775684135",
            "telephone_number": "409-938-7476",
            "fax_number": "855-975-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MARQUE FAMILY DENTISTRY PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-938-7476"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Marque, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.