Active NPI
Monica M. Chamorro-Ezzie, D.D.S., M.S.
- Endodontics
- Humble, TX
National Provider Identifier
1417011347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 22599
- Practice address
- 9701 N Sam Houston Pkwy E
Ste. 280
Humble, TX 77396-4636 - Phone
- (281) 491-0069
- Fax
- (281) 491-0083
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 7022 | AZ | |
| Endodontics | 1223E0200X | 22599 | TX | Primary |
| Endodontics | 1223E0200X | 0401412127 | VA |
Addresses
Primary practice location
9701 N Sam Houston Pkwy E
Ste. 280
Humble, TX 77396-4636
Mailing address
4422 Osby Dr.
Houston, TX 77096
Phone (713) 429-5500
Other names 1
- Dr. Monica M. Chamorro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150721002427 | TX | Order and Referring Only - Other (Physician) | 1153634035 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7022 | AZ | MD | Endodontist |
| 22599 | TX | MD | Endodontist |
| 0401412127 | VA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1417011347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 OSBY DR.",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77096",
"telephone_number": "713-429-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 N SAM HOUSTON PKWY E",
"address_2": "STE. 280",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773964636",
"telephone_number": "281-491-0069",
"fax_number": "281-491-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMORRO-EZZIE",
"first_name": "MONICA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "7022",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "22599",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "0401412127",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "CHAMORRO",
"middle_name": "M.",
"prefix": "DR.",
"credential": "D.D.S., M.S.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.