NPIMap

Organization Active NPI

Katy Center for Oral and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Katy, TX
National Provider Identifier
1053762823
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
KATY CENTER FOR ORAL AND FACIAL SURGERY
Practice address
23922 Cinco Village Center Blvd
Suite 111
Katy, TX 77494-6619
Phone
(281) 392-1130
NPI assigned
Jun 23, 2016
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Tania Impastato
Title
Practice Administrator
Phone
(281) 392-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

23922 Cinco Village Center Blvd
Suite 111
Katy, TX 77494-6619

Mailing address

23922 Cinco Village Center Blvd
Suite 111
Katy, TX 77494-6619
Phone (281) 392-1130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1053762823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23922 CINCO VILLAGE CENTER BLVD",
            "address_2": "SUITE 111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946619",
            "telephone_number": "281-392-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23922 CINCO VILLAGE CENTER BLVD",
            "address_2": "SUITE 111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946619",
            "telephone_number": "281-392-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY CENTER FOR ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "IMPASTATO",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "281-392-1130"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.