Mayra Karen Granillo, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

27952 Issued in TX

Practice address

5925 Almeda Rd Unit 12617
Houston, TX 77004-7697

Phone

(713) 254-9621

NPI assigned

Aug 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rene Rodriguez DMD, PC.

  • Dental Clinic/Center
  • Houston, TX
  • NPI 1073882924
  NPD (past)

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1477800324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 ALMEDA RD UNIT 12617",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047697",
            "telephone_number": "713-254-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 ALMEDA RD UNIT 12617",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047697",
            "telephone_number": "713-254-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANILLO",
        "first_name": "MAYRA",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27952",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Kathleen Grandon, RN
• Grandtouch Health Services LLC
• Daniel E Grandy Jr.
• Rosslyn N Granger, LCSW
• Alejandro A. Granillo Ibanez, M.D.
• Granite Keepholdings, Inc.
• Masood Granmayeh, M.D.
• Grannies & Gramps, Inc.
• Charity Halphen Grannis, M.D.
• Amber R Grant

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.