Michael A Crist, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D11640 Issued in TX

Practice address

13303 Champion Forest Dr Ste 10
Houston, TX 77069-2650

Phone

(281) 895-7600

Fax

(281) 895-7676

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1013928233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 CHAMPION FOREST DR STE 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692650",
            "telephone_number": "281-895-7600",
            "fax_number": "281-895-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 CHAMPION FOREST DR STE 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692650",
            "telephone_number": "281-895-7600",
            "fax_number": "281-895-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIST",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "D11640",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "D11640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eveling Crisostomo, LCSW
• Janice Crisostomo
• Holly Diane Crisp, M.D.
• Undria Criss-Ayelagbe, FNP-C
• Megan Elizabeth Crissey, COTA
• Quynh-Thi Crist, O.D.
• Thomas Crist, SA
• Crista Paull MD PA
• Cristal Cristia, MD
• Cristin Dickerson MD PA

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.