Active NPI
Marwa Kharboutli, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Houston, TX
National Provider Identifier
1912777004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 40198
- Practice address
- 1046 Memorial Village Dr
Houston, TX 77024-4454 - Phone
- (281) 818-9351
- NPI assigned
- Jan 8, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 40198 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 40198 | TX | Primary |
Addresses
Primary practice location
1046 Memorial Village Dr
Houston, TX 77024-4454
Mailing address
1046 Memorial Village Dr
Houston, TX 77024-4454
Phone (281) 818-9351
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 |
|---|---|---|---|
| 40198 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1912777004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 MEMORIAL VILLAGE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770244454",
"telephone_number": "281-818-9351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 MEMORIAL VILLAGE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770244454",
"telephone_number": "281-818-9351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHARBOUTLI",
"first_name": "MARWA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "40198",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "40198",
"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 Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.