Organization Active NPI

M&M Endodontics PLLC

  • Endodontics
  • The Woodlands, TX
National Provider Identifier
1548692346
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
M&M ENDODONTICS PLLC
Doing business as
BlueBonnet Endodontics
Practice address
10110 Woodlands Pkwy
Suite 1000
The Woodlands, TX 77382-2931
Phone
(281) 789-7123
Fax
(281) 362-0277
NPI assigned
Aug 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Mansi Malavia, DMD
Title
Endodontist/Owner
Phone
(281) 789-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X TX Primary

Addresses

Primary practice location

10110 Woodlands Pkwy
Suite 1000
The Woodlands, TX 77382-2931

Mailing address

10110 Woodlands Pkwy
Suite 1000
The Woodlands, TX 77382-2931
Phone (281) 789-7123

Other names 1

  • BlueBonnet Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

10110 Woodlands Pkwy
Ste 1000
The Woodlands, TX 77382
Phone (281) 419-4655

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1548692346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 WOODLANDS PKWY",
            "address_2": "SUITE 1000",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822931",
            "telephone_number": "281-789-7123",
            "fax_number": "281-362-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 WOODLANDS PKWY",
            "address_2": "SUITE 1000",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822931",
            "telephone_number": "281-789-7123",
            "fax_number": "281-362-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "MALAVIA",
        "authorized_official_first_name": "MANSI",
        "authorized_official_title_or_position": "ENDODONTIST/OWNER",
        "authorized_official_telephone_number": "281-789-7123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BlueBonnet Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 2, 2013; 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.