Elevated Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

ELEVATED ORAL SURGERY

Practice address

1106 Witte Rd Ste 300
Houston, TX 77055-2164

Phone

(281) 940-5315

NPI assigned

Aug 16, 2023

Organization subpart

No

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

Authorized official

Name

Susana C Porras, DMDNPI 1790083665

Title

Manager/Owner

Phone

(281) 940-5315

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susana C Porras, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
  • NPI 1790083665
  NPD Authorized official

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1114700747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WITTE RD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552164",
            "telephone_number": "281-940-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 WITTE RD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552164",
            "telephone_number": "281-940-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "281-940-5315",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.