Active NPI
Michael Paul Cimino, D.D.S.
- General Practice Dentistry
- Pasadena, TX
National Provider Identifier
1922337484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24594
- Practice address
- 3602 Vista Rd
Suite H
Pasadena, TX 77504-1942 - Phone
- (711) 394-6517
- NPI assigned
- Dec 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 24594 | TX | Primary |
Addresses
Primary practice location
3602 Vista Rd
Suite H
Pasadena, TX 77504-1942
Mailing address
3410 Louisiana St
3202
Houston, TEXAS 77002
UM
Phone (504) 909-9434
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 |
|---|---|---|---|
| 24594 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260576000000",
"number": "1922337484",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "3410 LOUISIANA ST",
"address_2": "3202",
"city": "HOUSTON",
"state": "TEXAS",
"postal_code": "77002",
"telephone_number": "504-909-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 VISTA RD",
"address_2": "SUITE H",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041942",
"telephone_number": "711-394-6517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIMINO",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-12",
"last_updated": "2009-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.