Organization Active NPI

David a. Mouritsen, DDS, Ms, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spring, TX
National Provider Identifier
1053845115
Registry record updated Apr 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
25478 Issued in TX
Legal business name
DAVID A. MOURITSEN, DDS, MS, PLLC
Doing business as
Woodlands Orthodontic Group
Practice address
2211 Rayford Rd
Ste. 117
Spring, TX 77386-1555
Phone
(281) 367-2211
NPI assigned
Apr 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2017

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

Authorized official

Name
Dr. David Mouritsen, DDS, MSNPI 1811239510
Title
Orthodontist
Phone
(512) 879-7471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 25478 TX Primary

Addresses

Primary practice location

2211 Rayford Rd
Ste. 117
Spring, TX 77386-1555

Mailing address

2211 Rayford Rd
Ste. 117
Spring, TX 77386-1555
Phone (281) 367-2211

Other names 1

  • Woodlands Orthodontic Group Doing business as

National Provider Directory

National Provider Directory

Locations

2211 Rayford Rd
Ste 117
Spring, TX 77386
Phone (281) 367-2211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492300800000",
    "number": "1053845115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 RAYFORD RD",
            "address_2": "STE. 117",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861555",
            "telephone_number": "281-367-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 RAYFORD RD",
            "address_2": "STE. 117",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861555",
            "telephone_number": "281-367-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. MOURITSEN, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-16",
        "last_updated": "2017-04-16",
        "status": "A",
        "authorized_official_last_name": "MOURITSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "512-879-7471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Orthodontic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2017; 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.