Organization Active NPI

West Houston Oral Surgery Group PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1033580436
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
WEST HOUSTON ORAL SURGERY GROUP PLLC
Practice address
12121 Richmond Ave Ste 316
Houston, TX 77082-2437
Phone
(281) 821-3333
Fax
(281) 443-3397
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Dr. Sejoon Kim, DDS MD
Title
Owner
Phone
(281) 821-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

12121 Richmond Ave Ste 316
Houston, TX 77082-2437

Mailing address

12121 Richmond Ave Ste 316
Houston, TX 77082-2437
Phone (281) 821-3333

National Provider Directory

National Provider Directory

Locations

12121 Richmond Ave
Ste 316
Houston, TX 77082
Phone (281) 556-6000

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1033580436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 316",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822437",
            "telephone_number": "281-821-3333",
            "fax_number": "281-443-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 316",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822437",
            "telephone_number": "281-821-3333",
            "fax_number": "281-443-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HOUSTON ORAL SURGERY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEJOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-821-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "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 Oct 12, 2015; 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.