Active NPI
Manvel Aesthetic Dentistry LLC
- General Practice Dentistry
- Manvel, TX
National Provider Identifier
1376009704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MANVEL AESTHETIC DENTISTRY LLC
- Practice address
- 19404 Highway 6
Manvel, TX 77578-3702 - Phone
- (832) 637-4977
- Fax
- (832) 637-4979
- NPI assigned
- Feb 11, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Samuel Collins, DDS
- Title
- Provider/Owner
- Phone
- (832) 637-4977
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Manvel, TX
- NPI 1447294996
-
- Pharmacist
- Manvel, TX
- NPI 1538639877
National Provider Directory
National Provider DirectoryLocations
19404 Morris Ave
Manvel, TX 77578
Phone (832) 637-4977
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
19404 Highway 6
Manvel, TX 77578-3702
Mailing address
19404 Highway 6
Manvel, TX 77578-3702
Phone (832) 637-4977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2024.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1376009704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19404 HIGHWAY 6",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783702",
"telephone_number": "832-637-4977",
"fax_number": "832-637-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19404 HIGHWAY 6",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783702",
"telephone_number": "832-637-4977",
"fax_number": "832-637-4979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANVEL AESTHETIC DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-11",
"last_updated": "2024-04-18",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "832-637-4977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manvel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.