Active NPI
Robert Bruce Mayhew, D.M.D.
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1861619884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- TX17744
- Practice address
- 6516 M.D. Anderson Blvd
Houston, TX 77030-3402 - Phone
- (713) 500-4509
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | TX17744 | TX | Primary |
Addresses
Primary practice location
6516 M.D. Anderson Blvd
Houston, TX 77030-3402
Mailing address
6314 Lewis Lane
Rosharon, TX 77583
Phone (281) 382-3465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1697856 | Medicaid | TX |
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 |
|---|---|---|---|
| TX17744 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861619884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6314 LEWIS LANE",
"city": "ROSHARON",
"state": "TX",
"postal_code": "77583",
"telephone_number": "281-382-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6516 M.D. ANDERSON BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303402",
"telephone_number": "713-500-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYHEW",
"first_name": "ROBERT",
"middle_name": "BRUCE",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "TX17744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1697856",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Tiara Tramaine Mayfield-Bond, LPC
- Ashley A Mayfield, RN
- Norma Cheryl Mayfield, MT(ASCP)
- Mayflower Health Durable Medical Equipment and Supply Inc
- Mayflower Pharmacy, Inc (Mayflower Pharmacy)
- Barani Subramaniam Mayilvaganan, M.D.
- Nicholas Maykut
- Josue Radames Maymi, M.ED.
- Ashley Maynard
- Elizabeth Ann Maynard, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.