Active NPI
Suzanne George
- General Practice Dentistry
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33421
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150623000320 | DE | Order and Referring Only - Oral Surgery | 7214248921 | |
| I20180815002739 | TX | Order and Referring Only - Dentist | 7214248921 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Dental Group PC | General Practice | Current | 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.
-
- Dental Clinic/Center
- Katy, TX
- NPI 1295495349
-
dba Ultra white dental
- General Practice Dentistry
- Katy, TX
- NPI 1770298614
-
- General Practice Dentistry
- Houston, TX
- NPI 1497313530
-
dba Cypress Dentistry
- Dentist
- Cypress, TX
- NPI 1164839114
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.