Marvel Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARVEL DENTISTRY PC

Practice address

1450 Fry Rd
Houston, TX 77084-5811

Phone

(281) 398-2889

Fax

(281) 238-5978

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mary K Ta, DMD

Title

President

Phone

(281) 398-2889

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1871007732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 FRY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845811",
            "telephone_number": "281-398-2889",
            "fax_number": "281-238-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 FRY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845811",
            "telephone_number": "281-398-2889",
            "fax_number": "281-238-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVEL DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-398-2889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dipen Maru, M.D.
• Sam Marullo Jr., PHD
• Teresa H Marullo, NP
• Matthew D Maruna, MD
• Edward Maruri Jr.
• Ashley Marvel, MA, BCBA
• Duken Marvelly, LCSW-S, LCDC
• Marvelous Counseling & Therapy PLLC
• Marvelous Counseling & Therapy PLLC
• Marvelous Smiles, LLC

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.