DR. SANDEEP MAMMEN DMD
NPI 1174582522
Dentist - General Practice in Houston, TX
About Dr. Sandeep Mammen Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANDEEP MAMMEN DMD (NPI 1174582522) is an individual general practice provider in Houston, Texas, licensed in Texas (0023225) and active in the NPI registry since March 2006. He has opted out of Medicare through September 18, 2026.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Sandeep Mammen Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 18, 2024 through September 18, 2026.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandeep Mammen's NPI number?
The NPI number for Sandeep Mammen is 1174582522. It was assigned to this individual provider in the NPPES registry on March 22, 2006.
Where is Sandeep Mammen located?
Sandeep Mammen practices at 17776 Tomball Pkwy, Houston, TX 77064. The listed phone number is (713) 777-2777.
What is Sandeep Mammen's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Sandeep Mammen enrolled in Medicare?
No. Sandeep Mammen has opted out of Medicare through September 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Sandeep Mammen accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Sandeep Mammen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sandeep Mammen was last updated on August 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Sandeep Mammen, DMD · NPI 1174582522
General Practice provider in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 22, 2006.
## Identity
- **NPI:** 1174582522 (Entity type: Individual)
- **Enumerated:** March 22, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 0023225 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 17776 TOMBALL PKWY, Houston, TX 77064-1016
- **Phone:** (713) 777-2777
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 18, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** August 15, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1174582522) · Data from the CMS NPPES public registry.