NPIMap

Organization Active NPI

Spring Complete Care Dentistry, PLLC

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1154740124
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28240 Issued in TX
Legal business name
SPRING COMPLETE CARE DENTISTRY, PLLC
Practice address
22619 Aldine Westfield Rd
Suite #3
Spring, TX 77373-6539
Phone
(281) 907-0909
NPI assigned
Apr 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Dr. Jeff S Tan, DDS
Title
Owner Dentist
Phone
(281) 907-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28240 TX Primary

Addresses

Primary practice location

22619 Aldine Westfield Rd
Suite #3
Spring, TX 77373-6539

Mailing address

22619 Aldine Westfield Rd
Suite #3
Spring, TX 77373-6539
Phone (281) 907-0909

National Provider Directory

National Provider Directory

Locations

22619 Aldine Westfield Rd
Ste 3
Spring, TX 77373
Phone (281) 907-0909

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": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1154740124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22619 ALDINE WESTFIELD RD",
            "address_2": "SUITE #3",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773736539",
            "telephone_number": "281-907-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22619 ALDINE WESTFIELD RD",
            "address_2": "SUITE #3",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773736539",
            "telephone_number": "281-907-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING COMPLETE CARE DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "281-907-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 7, 2014; 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.