Active NPI
Ruben Dario Martin Jr.
- Periodontics
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 40232
- Practice address
- 791 Town and Country Blvd Ste 222
Houston, TX 77024-3978 - Phone
- (832) 742-0515
- NPI assigned
- Oct 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DL14578 | MA | |
| Periodontics | 1223P0300X | 40232 | TX | Primary |
Addresses
Primary practice location
791 Town and Country Blvd Ste 222
Houston, TX 77024-3978
Mailing address
230 T C Jester Blvd Apt 306
Houston, TX 77007-3278
Phone (786) 830-8979
Other practice location 1
1233 Crabb River Rd
Richmond, TX 77469-5616
Phone (281) 937-1671
Other practice location 2
25815 Budde Rd
The Woodlands, TX 77380-2009
Phone (281) 367-4007
Other practice location 3
827 Magnolia Blvd Ste 1
Magnolia, TX 77355-8553
Phone (281) 356-3721
Other practice location 4
10584 Fm 1488 Rd Ste 100
Magnolia, TX 77354-7364
Phone (281) 581-0606
Other practice location 5
15731 Fm 2920 Rd
Tomball, TX 77377-6149
Phone (281) 516-9919
Other practice location 6
1575 W Grand Pkwy S Ste 1200
Katy, TX 77494-8313
Phone (281) 395-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917004763 | TX | Order and Referring Only - Periodontics | 7517408594 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40232 | TX | MD | Clinical Psychologist |
| DL14578 | MA | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cutbirth and Sanderson, L.L.P. | Past | Accepting new patients | |
| Greatwood Family Dental, PLLC | Past | Accepting new patients | |
| Cutbirth and Sanderson, L.L.P. | Past | Accepting new patients | |
| The Dentists at Grand Parkway | Past | Accepting new patients | |
| The Dentists at Grand Parkway, PLLC | Past | Accepting new patients | |
| Hillwood Family Dental 1774 PLLC | Past | Accepting new patients | |
| Hillwood Family Dental 1488, PLLC | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Magnolia, TX
- NPI 1376274837
-
- General Practice Dentistry
- Magnolia, TX
- NPI 1861610297
-
- Dentist
- Richmond, TX
- NPI 1184372385
-
dba Hillwood Family Dental 1488
- General Practice Dentistry
- Magnolia, TX
- NPI 1447960190
-
dba Hillwood Family Dental 1774
- Dentist
- Magnolia, TX
- NPI 1326758137
-
- General Practice Dentistry
- Katy, TX
- NPI 1689779928
-
dba The Dentists At Grand Parkway
- General Practice Dentistry
- Katy, TX
- NPI 1710530449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1932709987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 T C JESTER BLVD APT 306",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770073278",
"telephone_number": "786-830-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 TOWN AND COUNTRY BLVD STE 222",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770243978",
"telephone_number": "832-742-0515"
}
],
"practiceLocations": [
{
"address_1": "1233 Crabb River Rd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "TX",
"postal_code": "774695616",
"country_code": "US",
"telephone_number": "281-937-1671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25815 Budde Rd",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "773802009",
"country_code": "US",
"telephone_number": "281-367-4007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "827 Magnolia Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Magnolia",
"state": "TX",
"postal_code": "773558553",
"country_code": "US",
"telephone_number": "281-356-3721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10584 Fm 1488 Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Magnolia",
"state": "TX",
"postal_code": "773547364",
"country_code": "US",
"telephone_number": "281-581-0606",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15731 Fm 2920 Rd",
"address_purpose": "LOCATION",
"city": "Tomball",
"state": "TX",
"postal_code": "773776149",
"country_code": "US",
"telephone_number": "281-516-9919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1575 W Grand Pkwy S Ste 1200",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774948313",
"country_code": "US",
"telephone_number": "281-395-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "RUBEN",
"middle_name": "DARIO",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-29",
"last_updated": "2024-03-18",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "MA",
"license": "DL14578",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "40232",
"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 Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.