Marium Sultan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34916 Issued in TX

Practice address

680 W Sam Houston Pkwy S Apt 138
Houston, TX 77042-1578

Phone

(646) 400-4068

NPI assigned

Aug 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smileology Dentistry PLLC

  • General Practice Dentistry
  • Katy, TX
  • NPI 1972357853
  NPD Authorized official
• All City Dental Services

  • General Practice Dentistry
  • Newark, NJ
  • NPI 1487879128
  NPD (past)

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553904000000",
    "number": "1790239242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W SAM HOUSTON PKWY S APT 138",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421578",
            "telephone_number": "646-400-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W SAM HOUSTON PKWY S APT 138",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421578",
            "telephone_number": "646-400-4068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 Mount Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071043109",
            "country_code": "US",
            "telephone_number": "973-481-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULTAN",
        "first_name": "MARIUM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2019-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102645200",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Sully, MD
• Sultan Medical Services, Inc.
• Sultan Mind Psychiatry LLC
• Fatima Sultan, MA
• Ghayyath Sultan, M.D
• Maryam Sultan
• Nevine Sultan
• Samer Sultan
• Sania Sultan, PHARM.D.
• Sarah I Sultan, LPC, LMHC

• 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 Mar 30, 2019; 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.