Active NPI
Victor Hugo Magallanes
- General Practice Dentistry
- Friendswood, TX
National Provider Identifier
1730596164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30298
- Practice address
- 1106 W Edgewood Dr
Friendswood, TX 77546-4640 - Phone
- (832) 652-8915
- NPI assigned
- Jul 17, 2014
- Sex
- Male
- 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 | 30298 | TX | Primary |
Addresses
Primary practice location
1106 W Edgewood Dr
Friendswood, TX 77546-4640
Mailing address
1103 W Castlewood Ave
Friendswood, TX 77546-5329
Phone (832) 652-8915
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 |
|---|---|---|---|---|
| I20180207002211 | TX | Order and Referring Only - Dentist | 6002176252 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30298 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1730596164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 W CASTLEWOOD AVE",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775465329",
"telephone_number": "832-652-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 W EDGEWOOD DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775464640",
"telephone_number": "832-652-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGALLANES",
"first_name": "VICTOR",
"middle_name": "HUGO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Friendswood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.