Active NPI
Mayra Takenaga
- Speech/Language/Hearing Specialist/Technologist
- Shenandoah, TX
National Provider Identifier
1376841601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech/Language/Hearing Specialist/Technologist
- License
- 10952
- Practice address
- 19073 I-45 S
Suite 145
Shenandoah, TX 77385-8743 - Phone
- (936) 273-4437
- NPI assigned
- Mar 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 10952 | TX | Primary |
Addresses
Primary practice location
19073 I-45 S
Suite 145
Shenandoah, TX 77385-8743
Mailing address
1255 N Post Oak Rd
#6107
Houston, TX 77055-7274
Phone (713) 213-2559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10952 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1376841601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 N POST OAK RD",
"address_2": "#6107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770557274",
"telephone_number": "713-213-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19073 I-45 S",
"address_2": "SUITE 145",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773858743",
"telephone_number": "936-273-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKENAGA",
"first_name": "MAYRA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "TX",
"license": "10952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.