Racil Mando, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37916 Issued in TX

Practice address

6261 Highway 6 Ste 400
Missouri City, TX 77459-4372

Phone

(281) 969-1536

NPI assigned

Oct 19, 2021

Last updated

Oct 19, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1528721388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14347 JAUBERT CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987501",
            "telephone_number": "304-376-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6261 HIGHWAY 6 STE 400",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594372",
            "telephone_number": "281-969-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2565 Town Center Blvd N",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792318",
            "country_code": "US",
            "telephone_number": "281-494-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDO",
        "first_name": "RACIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shye George Maliackal
• Olivia Lao Maloles, PT
• Debany Johana Malpica
• Tanya D. Malveaux, LCSW
• Bestin Manavalan
• Manifestation Home Healthcare, Inc.
• Cristiane Manlove, MA, SLP-INTERN
• Manni Hehalthcare Services LLC
• Lethean Manuel
• Hilda Marcel

• General Practice Dentistry in Missouri City, TX
• Providers in Missouri City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.