Organization Active NPI

Manvel Aesthetic Dentistry LLC

  • General Practice Dentistry
  • Manvel, TX
National Provider Identifier
1376009704
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, DDSNPI 1447294996
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.

National Provider Directory

National Provider Directory

Locations

19404 Morris Ave
Manvel, TX 77578
Phone (832) 637-4977

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.