Alemseged Degefu Missonne, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24763 Issued in TX

Practice address

8426 Winkler Dr
Houston, TX 77017-5062

Phone

(832) 767-4782

Fax

(877) 425-4661

NPI assigned

Jul 6, 2009

Last updated

Feb 16, 2016By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Missonni Dental PLLC

  dba Hobby Dental

  • General Practice Dentistry
  • Houston, TX
  • NPI 1467748327
  NPD (past) Authorized official

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1619106127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8426 WINKLER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770175062",
            "telephone_number": "832-767-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8426 WINKLER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770175062",
            "telephone_number": "832-767-4782",
            "fax_number": "877-425-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSONNE",
        "first_name": "ALEMSEGED",
        "middle_name": "DEGEFU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Dental P.a.
• Mission Dentistry Group
• Mission Diagnostics, LLC (A&M Health Care Services)
• Mission Medical Supply
• Mission of Hope International Inc. (Mission of Hope Hospice & PAS)
• Missonni Dental PLLC (Hobby Dental)
• Missouri Health Services Inc
• Michael Lawrence Mistric, NURSE PRACTITIONER
• Mistry Dental Center Inc
• Dipal Mistry, DO

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Feb 16, 2016; 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.