Individual provider Active NPI

Marwan Mazin Fattouhi, DDS, MSD, FACP

  • Prosthodontics
  • Spring, TX
National Provider Identifier
1477048528
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
34340 Issued in TX
Practice address
6315 Cypresswood Dr
Spring, TX 77379-8208
Phone
(281) 320-2000
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DENT.DE.70000285 WA
Prosthodontics 1223P0700X DDS111956 CA
Prosthodontics 1223P0700X 34340 TX Primary
Dentist 122300000X 34340 TX

Addresses

Primary practice location

6315 Cypresswood Dr
Spring, TX 77379-8208

Mailing address

6315 Cypresswood Dr
Spring, TX 77379-8208
Phone (281) 320-2000

Other practice location 1

6922 W Rayford Rd Ste 100
Spring, TX 77389-3004
Phone (832) 843-6619

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

LicenseStateTypeSpecialty
DDS111956CAMDProsthodontist
DENT.DE.70000285WAMDProsthodontist
34340TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens and Gatewood DDS Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1477048528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 CYPRESSWOOD DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798208",
            "telephone_number": "281-320-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 CYPRESSWOOD DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798208",
            "telephone_number": "281-320-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6922 W Rayford Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773893004",
            "country_code": "US",
            "telephone_number": "832-843-6619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATTOUHI",
        "first_name": "MARWAN",
        "middle_name": "MAZIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DENT.DE.70000285",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "DDS111956",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "34340",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.