Active NPI
Marim Ross, DDS
- General Practice Dentistry
- Memphis, TN
National Provider Identifier
1558051797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39571
- Practice address
- 113 Harbor Town SQ Ste 203
Memphis, TN 38103-8890 - Phone
- (901) 453-6081
- NPI assigned
- May 10, 2023
- Last updated
- Oct 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39571 | TX | Primary |
Addresses
Primary practice location
113 Harbor Town SQ Ste 203
Memphis, TN 38103-8890
Mailing address
2001 Westheimer Rd Apt 518
Houston, TX 77098-1649
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39571 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Higginbotham Dental Group, PLLC | General Practice | Current | Accepting new patients |
Locations
113 Harbor Town Sq
Ste 203
Memphis, TN 38103
Phone (901) 453-6081
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Higginbotham Family Dental
- General Practice Dentistry
- Memphis, TN
- NPI 1457717381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1558051797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 WESTHEIMER RD APT 518",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770981649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 HARBOR TOWN SQ STE 203",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381038890",
"telephone_number": "901-453-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MARIM",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "39571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.