Active NPI
Mariana Mago Visconti
- Dentist
- Houston, TX
National Provider Identifier
1851994057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36685
- Practice address
- 8702 Bellaire Blvd Ste 100
Houston, TX 77036-4633 - Phone
- (713) 364-1770
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36685 | TX | Primary |
Addresses
Primary practice location
8702 Bellaire Blvd Ste 100
Houston, TX 77036-4633
Mailing address
13907 Taylorcrest Rd
Houston, TX 77079-5816
Phone (512) 401-7202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36685 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1851994057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13907 TAYLORCREST RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795816",
"telephone_number": "512-401-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8702 BELLAIRE BLVD STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770364633",
"telephone_number": "713-364-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGO VISCONTI",
"first_name": "MARIANA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36685",
"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 Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.