Individual provider Active NPI

Suzanne George

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1023402922
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33421 Issued in TX
Practice address
4407 Cypress Creek Pkwy Ste D
Houston, TX 77068-3461
Phone
(281) 397-6161
Fax
(281) 397-6167
NPI assigned
Mar 27, 2015
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 33421 TX Primary

Addresses

Primary practice location

4407 Cypress Creek Pkwy Ste D
Houston, TX 77068-3461

Mailing address

4407 Cypress Creek Pkwy Ste D
Houston, TX 77068-3461
Phone (281) 397-6161

Other practice location 1

9727 Spring Green Blvd Ste 200
Katy, TX 77494-4141
Phone (832) 589-0671 ext. 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150623000320 DE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7214248921
I20180815002739 TX Order and Referring Only - DentistPractitioner - Dentist 7214248921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Dental Group PC General Practice CurrentSince Jan 21, 2022 Accepting new patients
Katy Ultra White Dental PC Current Accepting new patients
Katy Ultra White Dental PC General Practice Current Accepting new patients
Cypress Spring Dentistry, PC Multi-Specialty Past Accepting new patients

Locations

4407 FM 1960 Rd W
Ste D
Houston, TX 77068
Phone (281) 397-6161

9727 Spring Green Blvd
Ste 200
Katy, TX 77494
Phone (281) 697-5200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1023402922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 CYPRESS CREEK PKWY STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683461",
            "telephone_number": "281-397-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 CYPRESS CREEK PKWY STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683461",
            "telephone_number": "281-397-6161",
            "fax_number": "281-397-6167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9727 Spring Green Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774944141",
            "country_code": "US",
            "telephone_number": "832-589-0671 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-01-11",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.