MANVEL AESTHETIC DENTISTRY LLC
NPI 1376009704
Dentist - General Practice in Manvel, TX
About Manvel Aesthetic Dentistry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANVEL AESTHETIC DENTISTRY LLC (NPI 1376009704) is a healthcare organization registered as a general practice in Manvel, Texas and active in the NPI registry since February 2019. The organization lists Samuel Collins, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manvel Aesthetic Dentistry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Manvel Aesthetic Dentistry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Manvel Aesthetic Dentistry LLC's NPI number?
The NPI number for Manvel Aesthetic Dentistry LLC is 1376009704. It was assigned to this organization in the NPPES registry on February 11, 2019.
Where is Manvel Aesthetic Dentistry LLC located?
Manvel Aesthetic Dentistry LLC is located at 19404 Highway 6, Manvel, TX 77578. The listed phone number is (832) 637-4977.
What is Manvel Aesthetic Dentistry LLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Manvel Aesthetic Dentistry LLC enrolled in Medicare?
Yes. Manvel Aesthetic Dentistry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Manvel Aesthetic Dentistry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Manvel Aesthetic Dentistry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Manvel Aesthetic Dentistry LLC was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Manvel Aesthetic Dentistry Llc · NPI 1376009704
General Practice organization in Manvel, Texas. Organization record, active in the CMS NPPES registry since February 11, 2019.
## Identity
- **NPI:** 1376009704 (Entity type: Organization)
- **Enumerated:** February 11, 2019
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Samuel Collins, PROVIDER/OWNER
## Practice location
- **Address:** 19404 HIGHWAY 6, Manvel, TX 77578-3702
- **Phone:** (832) 637-4977 · **Fax:** (832) 637-4979
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376009704) · Data from the CMS NPPES public registry.