Individual provider Active NPI

Ruben Dario Martin Jr.

  • Periodontics
  • Houston, TX
National Provider Identifier
1932709987
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
40232 Issued in TX
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

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917004763 TX Order and Referring Only - PeriodonticsPractitioner - Periodontics 7517408594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40232TXMDClinical Psychologist
DL14578MAMDDenturist

Practice roles

OrganizationSpecialtyStatusNew patients
Cutbirth and Sanderson, L.L.P. PastSince Jun 26, 2022 Accepting new patients
Greatwood Family Dental, PLLC PastSince Mar 20, 2022 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 PastSince Jul 28, 2019 Accepting new patients
Hillwood Family Dental 1774 PLLC PastSince Dec 6, 2022 Accepting new patients
Hillwood Family Dental 1488, PLLC PastSince Dec 6, 2022 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.

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

Verify at the official NPI Registry.