Individual provider Active NPI

Jean Davannes Morency, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1932117637
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12307 Issued in TX
Practice address
2617 W Holcombe Blvd
Ste 1
Houston, TX 77025
Phone
(832) 862-1111
Fax
(713) 777-7137
NPI assigned
Aug 4, 2006
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12307 TX Primary

Addresses

Primary practice location

2617 W Holcombe Blvd
Ste 1
Houston, TX 77025

Mailing address

2617 W Holcombe Blvd
Ste 1
Houston, TX 77025
Phone (832) 862-1111

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

LicenseStateTypeSpecialty
12307TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fantastic Smiles of Houston PLLC General Practice CurrentSince Dec 14, 2025 Accepting new patients
Sandeep P. Mammen, D.M.D., P.C. Past Accepting new patients
Athena Dental Associates of Houston, Inc. Past Accepting new patients

Locations

2617 W Holcombe Blvd
Ste 1
Houston, TX 77025
Phone (832) 862-1111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1932117637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 W HOLCOMBE BLVD",
            "address_2": "STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77025",
            "telephone_number": "832-862-1111",
            "fax_number": "713-777-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 W HOLCOMBE BLVD",
            "address_2": "STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77025",
            "telephone_number": "832-862-1111",
            "fax_number": "713-777-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENCY",
        "first_name": "JEAN",
        "middle_name": "DAVANNES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12307",
            "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 Dec 8, 2025; 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.