Organization Active NPI

Medical Center Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1811164684
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21130 Issued in TX
Legal business name
MEDICAL CENTER DENTAL
Practice address
2600 S Loop W Ste 570
Houston, TX 77054-2643
Phone
(713) 667-3300
Fax
(713) 667-7590
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Joann Patricia Marruffo, D.D.SNPI 1457496960
Title
Dentist
Phone
(713) 667-3300

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 DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21130 TX Primary

Addresses

Primary practice location

2600 S Loop W Ste 570
Houston, TX 77054-2643

Mailing address

2600 S Loop W Ste 570
Houston, TX 77054-2643
Phone (713) 667-3300

National Provider Directory

National Provider Directory

Locations

2600 S Loop W
Ste 570
Houston, TX 77054
Phone (713) 667-3300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1811164684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S LOOP W STE 570",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542643",
            "telephone_number": "713-667-3300",
            "fax_number": "713-667-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S LOOP W STE 570",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542643",
            "telephone_number": "713-667-3300",
            "fax_number": "713-667-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "MARRUFFO",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-667-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21130",
            "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 May 12, 2008; 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.