Organization Active NPI

Shimmer Dental PLLC

Doing business as Shimmer Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1801596838
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHIMMER DENTAL PLLC
Doing business as
Shimmer Dental
Practice address
4817 Main St Ste 210
Houston, TX 77002-9700
Phone
(713) 492-0414
Fax
(713) 795-5806
NPI assigned
Mar 8, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Dr. Anna M MunneNPI 1164686382
Title
Owner
Phone
(713) 492-0414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4817 Main St Ste 210
Houston, TX 77002-9700

Mailing address

4817 Main St Ste 210
Houston, TX 77002-9700
Phone (713) 492-0414

Other names 1

  • Shimmer Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4817 Main St
Ste 210
Houston, TX 77002
Phone (713) 492-0414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1801596838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 MAIN ST STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029700",
            "telephone_number": "713-492-0414",
            "fax_number": "713-795-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 MAIN ST STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029700",
            "telephone_number": "713-492-0414",
            "fax_number": "713-795-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIMMER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "MUNNE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-492-0414",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shimmer Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shimmer Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 9, 2023; 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.