Mansi Malavia, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

26464 Issued in TX

Practice address

4840 W Panther Creek Dr
Suite 205
The Woodlands, TX 77381-3527

Phone

(954) 290-3664

NPI assigned

Apr 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1447577093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 W PANTHER CREEK DR",
            "address_2": "SUITE 205",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813527",
            "telephone_number": "954-290-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 W PANTHER CREEK DR",
            "address_2": "SUITE 205",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813527",
            "telephone_number": "954-290-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVIA",
        "first_name": "MANSI",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "26464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Darlene Magnuson Mazzoni, LPC, LADC
• Anh-Van Hong Mai, M.D.
• Johnny Phuong Van Mai, M.D.
• Rachelle Marian Mai, MD
• Asma Aziz Maknojia, PA-C
• Adriana Michelle Maldonado Perez
• Zaid Bin Hussain Malik, M.D
• Sarah Malinoski, OTR/L
• Marsha Jan Malmay, LCDC
• Enrica Gonzalez Malone, MFT

• Endodontics in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.

Verify at the official NPI Registry.