Active NPI
Mildren Gisela Motino, DDS
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1720758915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37874
- Practice address
- 2225 N Shepherd Dr
Houston, TX 77008-1953 - Phone
- (281) 241-8834
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 37874 | TX | Primary |
Addresses
Primary practice location
2225 N Shepherd Dr
Houston, TX 77008-1953
Mailing address
1901 W 14TH 1/2 St Unit B
Houston, TX 77008-3560
Phone (832) 681-6242
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240509003600 | TX | Order and Referring Only - Dentist | 8426499385 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37874 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1720758915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W 14TH 1/2 ST UNIT B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770083560",
"telephone_number": "832-681-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 N SHEPHERD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081953",
"telephone_number": "281-241-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTINO",
"first_name": "MILDREN",
"middle_name": "GISELA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "37874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.