Individual provider Active NPI

Mayan Kalo

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1770404667
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42655 Issued in TX
Practice address
18802 University Blvd Ste 110
Sugar Land, TX 77479-6849
Phone
(346) 536-4662
NPI assigned
Jul 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42655 TX Primary

Addresses

Primary practice location

18802 University Blvd Ste 110
Sugar Land, TX 77479-6849

Mailing address

2607 Stoney Brook Dr
Houston, TX 77063-3127

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

NPI Registry JSON

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1770404667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 STONEY BROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18802 UNIVERSITY BLVD STE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796849",
            "telephone_number": "346-536-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALO",
        "first_name": "MAYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.