Individual provider Active NPI

Mylene Buttross, D.D.S.

  • General Practice Dentistry
  • The Woodlands, TX
National Provider Identifier
1538217302
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19173 Issued in TX
Practice address
7901 Research Forest Drive
Suite 800
The Woodlands, TX 77382-1509
Phone
(832) 585-0330
Fax
(832) 585-0337
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19173 TX Primary

Addresses

Primary practice location

7901 Research Forest Drive
Suite 800
The Woodlands, TX 77382-1509

Mailing address

7901 Research Forest Drive
Suite 800
The Woodlands, TX 77382-1509
Phone (832) 585-0330

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
19173TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538217302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 RESEARCH FOREST DRIVE",
            "address_2": "SUITE 800",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821509",
            "telephone_number": "832-585-0330",
            "fax_number": "832-585-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 RESEARCH FOREST DRIVE",
            "address_2": "SUITE 800",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821509",
            "telephone_number": "832-585-0330",
            "fax_number": "832-585-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTROSS",
        "first_name": "MYLENE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.