Individual provider Active NPI

Andres Martinez Porras, DDS

  • Orofacial Pain Dentistry
  • Houston, TX
National Provider Identifier
1841940186
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
38891 Issued in TX
Practice address
2400 Augusta Dr Ste 276
Houston, TX 77057-4922
Phone
(346) 487-8216
Fax
(346) 487-8216
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain Dentistry 1223X2210X 38891 TX Primary

Addresses

Primary practice location

2400 Augusta Dr Ste 276
Houston, TX 77057-4922

Mailing address

7500 San Felipe St Ste 325
Houston, TX 77063-1700
Phone (346) 487-8216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 10, 2025 through Feb 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1841940186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631700",
            "telephone_number": "346-487-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AUGUSTA DR STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574922",
            "telephone_number": "346-487-8216",
            "fax_number": "346-487-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ PORRAS",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "TX",
            "license": "38891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.